Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $87.10 / $323.59	Facility		$36.31	$87.10	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $223.87	Professional		$70.79	$87.10	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $134.90	Professional		$89.13	$120.23	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $331.13 / $1,174.90	Facility		$204.17	$331.13	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $128.82	Professional		$93.33	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $162.18	Facility		$114.82	$114.82	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $173.78	Professional		$85.11	$85.11	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $263.03	Professional		$144.54	$204.17	$263.03
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 $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $97.72	Professional		$69.18	$69.18	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $138.04 / $234.42	Facility		$60.26	$138.04	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $125.89	Professional		$58.88	$85.11	$125.89