Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.26 / $77.84 / $148.58	Facility		$35.26	$77.84	$148.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $147.83 / $324.50	Professional		$99.75	$147.83	$324.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $113.63 / $127.27	Professional		$90.90	$113.63	$127.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $674.16 / $1,366.81 / $2,888.30	Facility		$674.16	$1,366.81	$2,888.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $125.38 / $279.12	Professional		$48.30	$125.38	$279.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.33 / $235.10 / $394.52	Facility		$134.33	$235.10	$394.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $183.09 / $272.02	Professional		$107.97	$183.09	$272.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.66 / $602.87 / $721.23	Professional		$181.66	$602.87	$721.23
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.58 / $186.35 / $255.61	Professional		$135.58	$186.35	$255.61