Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $251.19 / $407.38	Facility		$125.89	$251.19	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $309.03	Professional		$141.25	$141.25	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $199.53	Professional		$60.26	$131.83	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $190.55	Facility		$141.25	$141.25	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $134.90 / $141.25	Professional		$3.47	$134.90	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $269.15 / $660.69	Facility		$93.33	$269.15	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $154.88 / $239.88	Professional		$69.18	$154.88	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $524.81	Professional		$151.36	$234.42	$524.81
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 $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $288.40	Facility		$141.25	$141.25	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $165.96	Professional		$95.50	$112.20	$165.96