Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.84 / $111.85 / $146.65	Facility		$76.84	$111.85	$146.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $83.14 / $129.16	Professional		$62.45	$83.14	$129.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.61 / $229.79 / $296.45	Facility		$192.61	$229.79	$296.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.68 / $164.68 / $179.99	Professional		$164.68	$164.68	$179.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $138.38 / $207.72	Professional		$92.17	$138.38	$207.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.48 / $140.54 / $242.30	Professional		$86.48	$140.54	$242.30
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 $108.11 / $112.42 / $179.31	Professional		$108.11	$112.42	$179.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $131.65 / $187.58	Professional		$32.34	$131.65	$187.58
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $115.14 / $168.13	Professional		$74.45	$115.14	$168.13