Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.94 / $163.93 / $226.91	Facility		$59.94	$163.93	$226.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $102.50 / $177.63	Professional		$87.44	$102.50	$177.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.58 / $136.58 / $191.04	Professional		$136.58	$136.58	$191.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.96 / $387.36 / $1,643.71	Facility		$228.96	$387.36	$1,643.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $145.19 / $145.19	Professional		$113.80	$145.19	$145.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $209.12	Facility		$106.63	$106.63	$209.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.63 / $221.63	Professional		$77.84	$106.63	$221.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $219.70 / $309.20	Professional		$171.94	$219.70	$309.20
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 $248.35 / $248.35 / $248.35	Professional		$248.35	$248.35	$248.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.84 / $154.06 / $161.76	Professional		$107.84	$154.06	$161.76
United Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $95.30 / $163.61	Professional		$70.54	$95.30	$163.61