Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.43 / $177.05 / $187.10	Facility		$168.43	$177.05	$187.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $118.13 / $302.47	Professional		$88.68	$118.13	$302.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.06 / $138.86 / $158.50	Professional		$109.06	$138.86	$158.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.63 / $453.13 / $453.13	Facility		$249.63	$453.13	$453.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.65 / $152.52 / $171.30	Professional		$126.65	$152.52	$171.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.41 / $158.50 / $225.79	Professional		$112.41	$158.50	$225.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $176.70 / $671.92	Professional		$123.28	$176.70	$671.92
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 $138.16 / $143.57 / $152.63	Professional		$138.16	$143.57	$152.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.68	Professional		$32.34	$32.34	$159.68
United Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $141.44 / $221.52	Professional		$109.78	$141.44	$221.52