Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $72.44 / $72.44	Facility		$70.79	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $95.50	Professional		$57.54	$70.79	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $218.78 / $245.47	Professional		$70.79	$218.78	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $194.98 / $1,230.27	Facility		$66.07	$194.98	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $165.96	Professional		$102.33	$114.82	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $426.58	Professional		$194.98	$288.40	$426.58
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 $295.12 / $302.00 / $316.23	Professional		$295.12	$302.00	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $446.68	Facility		$112.20	$169.82	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $281.84	Professional		$114.82	$177.83	$281.84