Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $150.86 / $252.75	Facility		$85.50	$150.86	$252.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $143.40 / $299.70	Professional		$78.84	$143.40	$299.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $125.60 / $173.62	Professional		$99.95	$125.60	$173.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.76 / $362.54 / $362.54	Facility		$247.76	$362.54	$362.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $135.99 / $179.08	Professional		$103.92	$135.99	$179.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $124.66 / $129.87	Facility		$124.66	$124.66	$129.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $141.34 / $206.83	Professional		$90.67	$141.34	$206.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $165.37 / $300.41	Professional		$105.94	$165.37	$300.41
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 $111.89 / $116.21 / $165.05	Professional		$111.89	$116.21	$165.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $42.50 / $186.63	Professional		$41.35	$42.50	$186.63
United Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $144.46 / $238.80	Professional		$108.92	$144.46	$238.80