Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.42 / $139.25 / $261.10	Facility		$61.42	$139.25	$261.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $127.60 / $280.00	Professional		$71.59	$127.60	$280.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.44 / $118.00 / $165.96	Professional		$96.44	$118.00	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.23 / $328.60 / $328.60	Facility		$218.23	$328.60	$328.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.70 / $123.25 / $165.66	Professional		$95.70	$123.25	$165.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $118.57	Facility		$114.80	$114.80	$118.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $130.66 / $194.07	Professional		$82.80	$130.66	$194.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.75 / $155.26 / $268.62	Professional		$98.75	$155.26	$268.62
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 $103.03 / $107.02 / $155.26	Professional		$103.03	$107.02	$155.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $42.50 / $175.56	Professional		$41.36	$42.50	$175.56
United Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $134.24 / $225.76	Professional		$99.32	$134.24	$225.76