Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.08 / $155.36 / $174.33	Facility		$147.08	$155.36	$174.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $101.13 / $166.00	Professional		$80.30	$101.13	$166.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.50 / $101.50 / $102.65	Professional		$101.50	$101.50	$102.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.65 / $377.63 / $377.63	Facility		$227.65	$377.63	$377.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $123.55 / $141.91	Professional		$108.21	$123.55	$141.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $127.81 / $137.94	Facility		$127.81	$127.81	$137.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $135.50 / $202.40	Professional		$95.95	$135.50	$202.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.11 / $152.06 / $241.57	Professional		$110.11	$152.06	$241.57
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 $114.79 / $119.08 / $146.08	Professional		$114.79	$119.08	$146.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $146.82 / $165.18	Professional		$40.00	$146.82	$165.18
United Facility/Professional Professional Modifier Low / Median / High Price $105.24 / $136.10 / $222.14	Professional		$105.24	$136.10	$222.14