Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.60 / $150.60 / $188.25	Professional		$150.60	$150.60	$188.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.63 / $127.28 / $437.55	Professional		$85.63	$127.28	$437.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $601.83 / $601.83 / $748.95	Facility		$601.83	$601.83	$748.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $131.99 / $131.99	Professional		$108.42	$131.99	$131.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $123.35 / $213.09	Professional		$102.95	$123.35	$213.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $133.50 / $281.61	Professional		$97.63	$133.50	$281.61
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $290.92 / $2,500.00 / $2,500.00	Professional		$290.92	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.15 / $435.31 / $689.23	Professional		$337.15	$435.31	$689.23