Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $478.63	Facility		$234.42	$275.42	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $562.34	Professional		$194.98	$251.19	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $234.42	Professional		$158.49	$194.98	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $346.74 / $4,265.80	Facility		$257.04	$346.74	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $323.59	Professional		$218.78	$239.88	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $389.05 / $549.54	Facility		$257.04	$389.05	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $398.11	Professional		$190.55	$281.84	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $741.31	Professional		$213.80	$309.03	$741.31
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 $257.04 / $263.03 / $281.84	Professional		$257.04	$263.03	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $812.83 / $2,344.23	Facility		$154.88	$812.83	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $407.38	Professional		$181.97	$234.42	$407.38