Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.91 / $448.34 / $618.40	Facility		$301.91	$448.34	$618.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $218.28 / $316.63	Professional		$202.50	$218.28	$316.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $81.00	Professional		$81.00	$81.00	$81.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.35 / $453.60 / $3,189.37	Facility		$271.35	$453.60	$3,189.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $181.46 / $262.99	Professional		$3.50	$181.46	$262.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.60 / $643.04 / $1,210.60	Facility		$333.60	$643.04	$1,210.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $305.33 / $443.89	Professional		$122.27	$305.33	$443.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $276.14 / $420.78 / $808.96	Professional		$276.14	$420.78	$808.96
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 $341.89 / $341.89 / $341.89	Professional		$341.89	$341.89	$341.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $357.67 / $357.67 / $394.49	Professional		$357.67	$357.67	$394.49
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $157.79 / $276.39	Professional		$110.46	$157.79	$276.39