Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $741.31 / $1,071.52	Facility		$295.12	$741.31	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $794.33	Professional		$194.98	$281.84	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $354.81 / $660.69	Professional		$346.74	$354.81	$660.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $794.33 / $3,467.37	Facility		$295.12	$794.33	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $524.81	Professional		$302.00	$363.08	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $467.74 / $933.25	Facility		$263.03	$467.74	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $416.87	Professional		$204.17	$309.03	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $831.76	Professional		$199.53	$346.74	$831.76
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 $257.04 / $269.15 / $288.40	Professional		$257.04	$269.15	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $1,479.11	Facility		$218.78	$218.78	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $467.74	Professional		$186.21	$288.40	$467.74