Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $93.33 / $169.82	Facility		$67.61	$93.33	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $104.71	Professional		$58.88	$72.44	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $154.88	Professional		$79.43	$95.50	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $758.58 / $1,445.44	Facility		$281.84	$758.58	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $102.33	Professional		$87.10	$93.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $144.54	Professional		$75.86	$107.15	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $234.42	Professional		$67.61	$97.72	$234.42
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 $89.13 / $93.33 / $112.20	Professional		$89.13	$93.33	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $151.36	Professional		$72.44	$102.33	$151.36