Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.92 / $368.92 / $368.92	Facility		$368.92	$368.92	$368.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.21 / $299.82 / $518.10	Professional		$222.21	$299.82	$518.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.50 / $274.89 / $359.14	Professional		$250.50	$274.89	$359.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $701.89 / $981.16 / $1,350.16	Facility		$701.89	$981.16	$1,350.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.52 / $329.85 / $436.75	Professional		$302.52	$329.85	$436.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.99 / $354.07 / $552.94	Professional		$238.99	$354.07	$552.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $313.50 / $448.75 / $758.14	Professional		$313.50	$448.75	$758.14
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 $355.16 / $364.61 / $389.06	Professional		$355.16	$364.61	$389.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $439.94	Professional		$32.34	$32.34	$439.94
United Facility/Professional Professional Modifier Low / Median / High Price $220.22 / $299.27 / $473.32	Professional		$220.22	$299.27	$473.32