Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.87 / $216.64 / $355.88	Facility		$212.87	$216.64	$355.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.28 / $213.74 / $291.69	Professional		$182.28	$213.74	$291.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.86 / $264.25 / $282.83	Professional		$220.86	$264.25	$282.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.18 / $2,356.80 / $4,221.60	Facility		$1,081.18	$2,356.80	$4,221.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.35 / $320.94 / $351.52	Professional		$232.35	$320.94	$351.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $330.31 / $330.31	Facility		$330.31	$330.31	$330.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.71 / $293.31 / $454.91	Professional		$212.71	$293.31	$454.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $303.01 / $1,152.30	Professional		$208.36	$303.01	$1,152.30
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 $244.56 / $254.14 / $276.67	Professional		$244.56	$254.14	$276.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $312.85	Professional		$32.34	$32.34	$312.85
United Facility/Professional Professional Modifier Low / Median / High Price $197.67 / $301.81 / $505.16	Professional		$197.67	$301.81	$505.16