Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $281.18 / $686.00	Facility		$161.00	$281.18	$686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $202.94 / $543.57	Professional		$139.13	$202.94	$543.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.90 / $174.86 / $209.83	Professional		$125.90	$174.86	$209.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.00 / $823.00 / $3,460.10	Facility		$336.00	$823.00	$3,460.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.83 / $263.10 / $399.22	Professional		$218.83	$263.10	$399.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.64 / $326.64 / $326.64	Facility		$326.64	$326.64	$326.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.10 / $236.06 / $358.63	Professional		$154.10	$236.06	$358.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $180.99 / $270.17 / $1,280.00	Professional		$180.99	$270.17	$1,280.00
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 $204.59 / $211.94 / $227.32	Professional		$204.59	$211.94	$227.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $257.04	Professional		$32.34	$32.34	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $163.92 / $214.38 / $354.17	Professional		$163.92	$214.38	$354.17