Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $263.03 / $426.58	Facility		$257.04	$263.03	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $501.19	Professional		$223.87	$263.03	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $223.87	Professional		$213.80	$213.80	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $5,128.61	Facility		$1,348.96	$2,884.03	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $416.87	Professional		$281.84	$389.05	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $549.54	Professional		$257.04	$346.74	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $1,023.29	Professional		$239.88	$398.11	$1,023.29
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 $295.12 / $309.03 / $338.84	Professional		$295.12	$309.03	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $512.86	Professional		$239.88	$331.13	$512.86