Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $190.55	Facility		$75.86	$112.20	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $141.25	Professional		$61.66	$89.13	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $141.25	Professional		$100.00	$128.82	$141.25
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	25	$104.71	$104.71	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $257.04 / $309.03	Facility		$229.09	$257.04	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $181.97	Professional		$165.96	$165.96	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $213.80	Professional		$91.20	$138.04	$213.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $144.54 / $239.88	Professional		$89.13	$144.54	$239.88
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 $107.15 / $112.20 / $177.83	Professional		$107.15	$112.20	$177.83
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 $263.03 / $426.58 / $616.60	Facility		$263.03	$426.58	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $154.88	Professional		$53.70	$95.50	$154.88