Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.80 / $198.83 / $253.70	Facility		$189.80	$198.83	$253.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $148.97 / $276.11	Professional		$102.06	$148.97	$276.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.27 / $164.74 / $181.87	Professional		$148.27	$164.74	$181.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.85 / $472.64 / $472.64	Facility		$321.85	$472.64	$472.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.69 / $175.06 / $229.83	Professional		$135.69	$175.06	$229.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $175.04	Facility		$163.28	$163.28	$175.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $186.46 / $270.32	Professional		$119.68	$186.46	$270.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $216.30 / $394.73	Professional		$140.16	$216.30	$394.73
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 $146.80 / $152.00 / $214.94	Professional		$146.80	$152.00	$214.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $66.40 / $243.05	Professional		$64.61	$66.40	$243.05
United Facility/Professional Professional Modifier Low / Median / High Price $145.32 / $190.13 / $314.10	Professional		$145.32	$190.13	$314.10