Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.92 / $103.92 / $103.92	Facility		$103.92	$103.92	$103.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.87 / $112.90 / $165.36	Professional		$85.87	$112.90	$165.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $151.63 / $151.63	Professional		$151.63	$151.63	$151.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.89 / $973.60 / $2,123.56	Facility		$266.89	$973.60	$2,123.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $153.66 / $153.66	Professional		$134.27	$153.66	$153.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $213.42	Facility		$106.02	$127.07	$213.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $292.97	Professional		$92.76	$92.76	$292.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $232.52 / $336.20	Professional		$184.40	$232.52	$336.20
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 $262.85 / $262.85 / $262.85	Professional		$262.85	$262.85	$262.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $123.56 / $129.73	Professional		$86.49	$123.56	$129.73
United Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $100.87 / $197.81	Professional		$74.95	$100.87	$197.81