Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.54 / $215.66 / $355.05	Facility		$211.54	$215.66	$355.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.73 / $211.54 / $284.04	Professional		$183.73	$211.54	$284.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.99 / $267.99 / $267.99	Professional		$267.99	$267.99	$267.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,074.42 / $2,342.08 / $4,195.25	Facility		$1,074.42	$2,342.08	$4,195.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.26 / $319.43 / $351.25	Professional		$231.26	$319.43	$351.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.30 / $329.30 / $329.30	Facility		$329.30	$329.30	$329.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.70 / $292.12 / $458.43	Professional		$212.70	$292.12	$458.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.20 / $301.86 / $772.47	Professional		$208.20	$301.86	$772.47
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 $244.02 / $253.18 / $276.25	Professional		$244.02	$253.18	$276.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $312.38	Professional		$32.34	$32.34	$312.38
United Facility/Professional Professional Modifier Low / Median / High Price $196.18 / $288.33 / $466.06	Professional		$196.18	$288.33	$466.06