Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $135.44 / $252.75	Facility		$74.70	$135.44	$252.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $114.52 / $254.84	Professional		$70.04	$114.52	$254.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.79 / $115.51 / $156.80	Professional		$103.79	$115.51	$156.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.66 / $317.49 / $317.49	Facility		$216.66	$317.49	$317.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $120.62 / $163.29	Professional		$91.78	$120.62	$163.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $118.16	Facility		$110.81	$110.81	$118.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $126.11 / $189.23	Professional		$80.81	$126.11	$189.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.06 / $150.16 / $261.98	Professional		$95.06	$150.16	$261.98
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $102.99 / $150.16	Professional		$99.84	$102.99	$150.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $32.15 / $169.80	Professional		$31.28	$32.15	$169.80
United Facility/Professional Professional Modifier Low / Median / High Price $98.97 / $130.54 / $216.60	Professional		$98.97	$130.54	$216.60