Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.13 / $142.85 / $260.14	Facility		$107.13	$142.85	$260.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $169.46 / $395.81	Professional		$118.68	$169.46	$395.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $178.64 / $303.10	Professional		$130.41	$178.64	$303.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.61 / $679.65 / $2,313.40	Facility		$323.61	$679.65	$2,313.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $188.65 / $287.01	Professional		$141.38	$188.65	$287.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $202.62 / $512.65	Professional		$145.21	$202.62	$512.65
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 $166.10 / $170.83 / $181.66	Professional		$166.10	$170.83	$181.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $66.40 / $190.05	Professional		$64.61	$66.40	$190.05
United Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $193.64 / $320.41	Professional		$143.65	$193.64	$320.41