Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.98 / $239.10 / $281.14	Facility		$124.98	$239.10	$281.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $150.00 / $243.71	Professional		$108.85	$150.00	$243.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.76 / $330.40 / $330.40	Professional		$151.76	$330.40	$330.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.25 / $401.30 / $497.66	Facility		$353.25	$401.30	$497.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $219.87	Facility		$178.68	$178.68	$219.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $199.40 / $290.00	Professional		$139.77	$199.40	$290.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $218.25 / $556.09	Professional		$152.41	$218.25	$556.09
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 $161.21 / $166.13 / $211.80	Professional		$161.21	$166.13	$211.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.47 / $71.40 / $239.49	Professional		$69.47	$71.40	$239.49
United Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $220.28 / $348.50	Professional		$163.34	$220.28	$348.50