Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.59 / $103.59 / $157.37	Facility		$103.59	$103.59	$157.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $105.43 / $129.16	Professional		$88.91	$105.43	$129.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $105.96 / $195.39	Professional		$93.05	$105.96	$195.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.65 / $412.83 / $412.83	Facility		$147.65	$412.83	$412.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $144.41 / $151.28	Professional		$122.32	$144.41	$151.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $124.10 / $124.10	Facility		$124.10	$124.10	$124.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $126.01	Professional		$96.42	$96.42	$126.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.27 / $140.08 / $272.55	Professional		$99.27	$140.08	$272.55
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 $130.79 / $134.66 / $143.38	Professional		$130.79	$134.66	$143.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $162.13	Professional		$32.34	$32.34	$162.13
United Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $140.74 / $234.39	Professional		$103.21	$140.74	$234.39