Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $154.88 / $239.88	Facility		$112.20	$154.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $223.87	Professional		$85.11	$114.82	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $426.58 / $1,513.56	Facility		$263.03	$426.58	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $165.96	Professional		$144.54	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $204.17	Facility		$138.04	$138.04	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $218.78	Professional		$100.00	$100.00	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $302.00	Professional		$186.21	$239.88	$302.00
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 $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $165.96	Professional		$114.82	$114.82	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $173.78 / $316.23	Facility		$81.28	$173.78	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $162.18	Professional		$79.43	$109.65	$162.18