Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.17 / $150.88 / $314.33	Facility		$43.17	$150.88	$314.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $88.01 / $152.05	Professional		$73.80	$88.01	$152.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $128.41 / $128.41	Professional		$128.41	$128.41	$128.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.51 / $404.11 / $1,510.89	Facility		$224.51	$404.11	$1,510.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $130.13 / $130.13	Professional		$96.15	$130.13	$130.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $164.49	Facility		$95.80	$96.73	$164.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $96.73 / $198.38	Professional		$70.61	$96.73	$198.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.56 / $171.23 / $256.85	Professional		$142.56	$171.23	$256.85
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 $222.60 / $222.60 / $222.60	Professional		$222.60	$222.60	$222.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.34 / $129.07 / $135.52	Professional		$90.34	$129.07	$135.52
United Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $85.43 / $151.27	Professional		$60.73	$85.43	$151.27