Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $164.14 / $270.70	Facility		$162.08	$164.14	$270.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.50 / $161.44 / $218.88	Professional		$138.50	$161.44	$218.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.79 / $209.38 / $226.12	Professional		$163.79	$209.38	$226.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $823.21 / $1,794.48 / $3,214.36	Facility		$823.21	$1,794.48	$3,214.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.16 / $250.23 / $273.98	Professional		$181.16	$250.23	$273.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.18 / $257.18 / $257.18	Facility		$257.18	$257.18	$257.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.11 / $228.46 / $345.93	Professional		$163.11	$228.46	$345.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $236.06 / $602.79	Professional		$162.40	$236.06	$602.79
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 $190.26 / $198.00 / $215.80	Professional		$190.26	$198.00	$215.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $244.02	Professional		$32.34	$32.34	$244.02
United Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $220.52 / $351.65	Professional		$151.90	$220.52	$351.65