Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.13 / $159.16 / $208.40	Facility		$86.13	$159.16	$208.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $136.08 / $275.39	Professional		$85.06	$136.08	$275.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.49 / $136.10 / $163.80	Professional		$122.49	$136.10	$163.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.89 / $373.09 / $376.01	Facility		$266.89	$373.09	$376.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $141.72 / $191.20	Professional		$108.92	$141.72	$191.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $146.19	Facility		$130.94	$130.94	$146.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $149.71 / $223.73	Professional		$97.73	$149.71	$223.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $177.45 / $308.22	Professional		$113.90	$177.45	$308.22
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 $117.70 / $121.95 / $177.45	Professional		$117.70	$121.95	$177.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $42.50 / $200.66	Professional		$41.35	$42.50	$200.66
United Facility/Professional Professional Modifier Low / Median / High Price $120.44 / $154.93 / $257.66	Professional		$120.44	$154.93	$257.66