Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.53 / $353.26 / $591.95	Facility		$187.53	$353.26	$591.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $196.25 / $299.45	Professional		$167.91	$196.25	$299.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $109.03 / $109.03	Professional		$109.03	$109.03	$109.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.74 / $1,138.94 / $2,884.69	Facility		$298.74	$1,138.94	$2,884.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $150.46 / $167.91	Professional		$3.50	$150.46	$167.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.69 / $527.54 / $1,003.63	Facility		$276.69	$527.54	$1,003.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $265.60 / $417.07	Professional		$111.51	$265.60	$417.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.42 / $348.90 / $1,007.56	Professional		$222.42	$348.90	$1,007.56
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 $283.48 / $283.48 / $283.48	Professional		$283.48	$283.48	$283.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.41 / $296.56 / $327.08	Professional		$92.41	$296.56	$327.08
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $138.90 / $249.23	Professional		$91.59	$138.90	$249.23