Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $239.88 / $316.23	Facility		$123.03	$239.88	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $537.03	Professional		$112.20	$165.96	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $213.80	Professional		$128.82	$158.49	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $398.11 / $602.56	Facility		$354.81	$398.11	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $316.23	Professional		$138.04	$199.53	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $602.56	Professional		$144.54	$208.93	$602.56
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 $162.18 / $165.96 / $213.80	Professional		$162.18	$165.96	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $70.79 / $229.09	Professional		$32.36	$70.79	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $128.82 / $154.88	Facility		$100.00	$128.82	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $288.40	Professional		$134.90	$190.55	$288.40