Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.96 / $249.60 / $405.40	Facility		$116.96	$249.60	$405.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $111.25 / $171.16	Professional		$75.59	$111.25	$171.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $71.31 / $71.31	Professional		$71.31	$71.31	$71.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.40 / $794.40 / $2,450.38	Facility		$195.40	$794.40	$2,450.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $109.83 / $142.63	Professional		$3.50	$109.83	$142.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.14 / $317.05 / $656.68	Facility		$181.14	$317.05	$656.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $173.71 / $259.75	Professional		$72.95	$173.71	$259.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $213.95 / $363.14	Professional		$150.00	$213.95	$363.14
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 $185.42 / $185.42 / $185.42	Professional		$185.42	$185.42	$185.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $193.98 / $213.95	Professional		$55.54	$193.98	$213.95
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $96.99 / $256.73	Professional		$59.90	$96.99	$256.73