Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $81.28 / $562.34	Facility		$79.43	$81.28	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $204.17	Professional		$64.57	$83.18	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $158.49	Professional		$109.65	$117.49	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $302.00 / $1,071.52	Facility		$190.55	$302.00	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $120.23	Professional		$89.13	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $104.71	Facility		$102.33	$102.33	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $181.97	Professional		$74.13	$74.13	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $223.87	Professional		$134.90	$190.55	$223.87
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 $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $117.49	Professional		$83.18	$83.18	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $125.89 / $229.09	Facility		$60.26	$125.89	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $128.82	Professional		$58.88	$77.62	$128.82