Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.50 / $183.80 / $194.39	Facility		$175.50	$183.80	$194.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $123.38 / $326.20	Professional		$92.70	$123.38	$326.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $139.91 / $414.86	Professional		$127.74	$139.91	$414.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.05 / $469.34 / $469.34	Facility		$259.05	$469.34	$469.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.24 / $158.04 / $181.09	Professional		$131.24	$158.04	$181.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $138.29	Facility		$138.29	$138.29	$138.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $164.24 / $239.55	Professional		$117.00	$164.24	$239.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $183.30 / $711.55	Professional		$127.74	$183.30	$711.55
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 $143.57 / $148.93 / $158.16	Professional		$143.57	$148.93	$158.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $165.46	Professional		$32.34	$32.34	$165.46
United Facility/Professional Professional Modifier Low / Median / High Price $114.12 / $152.38 / $226.19	Professional		$114.12	$152.38	$226.19