Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.58 / $75.58 / $75.58	Facility		$75.58	$75.58	$75.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $76.04 / $114.06	Professional		$57.87	$76.04	$114.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.49 / $298.58 / $1,265.33	Facility		$176.49	$298.58	$1,265.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $111.77 / $111.77	Professional		$78.27	$111.77	$111.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $166.98	Facility		$92.98	$92.98	$166.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $172.33	Professional		$67.88	$67.88	$172.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.35 / $176.47 / $247.11	Professional		$132.35	$176.47	$247.11
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 $191.18 / $191.18 / $191.18	Professional		$191.18	$191.18	$191.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $110.84 / $116.38	Professional		$77.58	$110.84	$116.38
United Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $73.37 / $129.91	Professional		$52.64	$73.37	$129.91