Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $568.16 / $660.24	Facility		$247.00	$568.16	$660.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.02 / $247.00 / $322.49	Professional		$211.02	$247.00	$322.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $214.82 / $239.65	Professional		$214.82	$214.82	$239.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.29 / $1,341.64 / $3,121.07	Facility		$215.29	$1,341.64	$3,121.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.11 / $250.62 / $262.56	Professional		$215.11	$250.62	$262.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.24 / $287.45 / $557.75	Facility		$208.24	$287.45	$557.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.98 / $361.97 / $528.71	Professional		$260.98	$361.97	$528.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $225.36 / $340.85 / $703.56	Professional		$225.36	$340.85	$703.56
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 $266.33 / $273.87 / $310.30	Professional		$266.33	$273.87	$310.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.67 / $320.25 / $494.19	Professional		$217.67	$320.25	$494.19