Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.78 / $98.78 / $98.78	Facility		$98.78	$98.78	$98.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $102.34 / $122.91	Professional		$85.42	$102.34	$122.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $97.39 / $97.39	Professional		$97.39	$97.39	$97.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.36 / $410.95 / $1,624.46	Facility		$387.36	$410.95	$1,624.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $134.79 / $210.33	Professional		$114.57	$134.79	$210.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $118.31 / $118.31	Facility		$118.31	$118.31	$118.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $92.85 / $131.00	Professional		$92.85	$92.85	$131.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $127.45 / $194.20	Professional		$90.28	$127.45	$194.20
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 $125.53 / $128.41 / $138.07	Professional		$125.53	$128.41	$138.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $156.13	Professional		$32.34	$32.34	$156.13
United Facility/Professional Professional Modifier Low / Median / High Price $98.44 / $135.16 / $213.34	Professional		$98.44	$135.16	$213.34