Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.55 / $139.94 / $230.24	Facility		$137.55	$139.94	$230.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $137.58 / $184.19	Professional		$117.76	$137.58	$184.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.87 / $157.35 / $184.72	Professional		$127.87	$157.35	$184.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $698.65 / $1,522.96 / $2,728.00	Facility		$698.65	$1,522.96	$2,728.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.75 / $209.61 / $229.37	Professional		$151.75	$209.61	$229.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.92 / $214.92 / $214.92	Facility		$214.92	$214.92	$214.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.61 / $191.57 / $293.92	Professional		$137.61	$191.57	$293.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $194.95 / $658.42	Professional		$135.94	$194.95	$658.42
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 $158.76 / $165.65 / $180.90	Professional		$158.76	$165.65	$180.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $204.55	Professional		$32.34	$32.34	$204.55
United Facility/Professional Professional Modifier Low / Median / High Price $125.92 / $184.99 / $298.80	Professional		$125.92	$184.99	$298.80