Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.77 / $88.77 / $88.77	Facility		$88.77	$88.77	$88.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.38 / $88.77 / $148.11	Professional		$71.38	$88.77	$148.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $128.26 / $128.26	Professional		$128.26	$128.26	$128.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.65 / $363.15 / $1,543.22	Facility		$214.65	$363.15	$1,543.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.12 / $136.31 / $136.31	Professional		$133.12	$136.31	$136.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $224.87	Facility		$113.25	$113.25	$224.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $113.25 / $207.75	Professional		$82.67	$113.25	$207.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $152.46 / $179.36 / $228.04	Professional		$152.46	$179.36	$228.04
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 $233.17 / $233.17 / $233.17	Professional		$233.17	$233.17	$233.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $135.19 / $141.96	Professional		$94.64	$135.19	$141.96
United Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $89.48 / $158.41	Professional		$66.45	$89.48	$158.41