Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.88 / $358.96 / $980.50	Facility		$148.88	$358.96	$980.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $148.88 / $489.30	Professional		$113.09	$148.88	$489.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.18 / $258.18 / $258.18	Professional		$258.18	$258.18	$258.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.38 / $372.68 / $1,743.55	Facility		$94.38	$372.68	$1,743.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $153.56 / $340.30	Professional		$48.30	$153.56	$340.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.65 / $356.90 / $678.54	Facility		$192.65	$356.90	$678.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $195.76 / $281.54	Professional		$93.45	$195.76	$281.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $230.10 / $528.55	Professional		$143.05	$230.10	$528.55
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 $180.65 / $185.97 / $199.42	Professional		$180.65	$185.97	$199.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.50 / $208.62	Professional		$32.34	$52.50	$208.62
United Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $176.79 / $308.75	Professional		$115.35	$176.79	$308.75