Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $116.44 / $135.22	Facility		$90.48	$116.44	$135.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $76.65 / $124.15	Professional		$59.75	$76.65	$124.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $78.90 / $78.90	Professional		$78.90	$78.90	$78.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.41 / $274.75 / $274.75	Facility		$177.41	$274.75	$274.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $91.45 / $110.46	Professional		$79.52	$91.45	$110.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $107.56	Facility		$94.69	$94.69	$107.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $104.88 / $155.77	Professional		$74.50	$104.88	$155.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $116.82 / $201.31	Professional		$80.91	$116.82	$201.31
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 $85.45 / $87.89 / $112.49	Professional		$85.45	$87.89	$112.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $113.25 / $129.80	Professional		$40.00	$113.25	$129.80
United Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $108.15 / $169.45	Professional		$82.20	$108.15	$169.45