Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $181.88 / $243.89	Facility		$60.60	$181.88	$243.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $154.65 / $226.88	Professional		$108.94	$154.65	$226.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $143.04 / $261.39 / $265.89	Professional	25	$143.04	$261.39	$265.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $212.85	Professional		$141.25	$141.25	$212.85
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $158.22 / $158.22 / $158.22	Professional	25	$158.22	$158.22	$158.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.31 / $249.87 / $490.55	Facility		$184.31	$249.87	$490.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.96 / $181.51 / $229.73	Professional		$142.96	$181.51	$229.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $174.07 / $174.07	Facility		$174.07	$174.07	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $230.63	Professional		$147.90	$147.90	$230.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $182.80 / $371.56	Professional		$125.15	$182.80	$371.56
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 $157.03 / $161.94 / $218.74	Professional		$157.03	$161.94	$218.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $247.34	Professional		$32.34	$32.34	$247.34
United Facility/Professional Professional Modifier Low / Median / High Price $120.66 / $180.04 / $316.66	Professional		$120.66	$180.04	$316.66