Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.40 / $295.95 / $343.14	Facility		$162.40	$295.95	$343.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $185.93 / $329.25	Professional		$139.69	$185.93	$329.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.18 / $270.26 / $424.90	Professional		$203.18	$270.26	$424.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.89 / $535.75 / $612.66	Facility		$434.89	$535.75	$612.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $240.39 / $269.58	Facility		$240.39	$240.39	$269.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.49 / $258.67 / $372.08	Professional		$182.49	$258.67	$372.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $287.04 / $708.90	Professional		$202.50	$287.04	$708.90
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 $216.28 / $223.39 / $276.41	Professional		$216.28	$223.39	$276.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.29 / $92.80 / $312.55	Professional		$90.29	$92.80	$312.55
United Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $265.49 / $427.56	Professional		$207.47	$265.49	$427.56