Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.10 / $217.96 / $228.10	Facility		$207.10	$217.96	$228.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $141.75 / $367.65	Professional		$108.16	$141.75	$367.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.66 / $162.66 / $193.82	Professional		$162.66	$162.66	$193.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.85 / $606.35 / $981.57	Facility		$321.85	$606.35	$981.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.29 / $203.68 / $214.91	Professional		$159.29	$203.68	$214.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $162.16 / $162.16	Facility		$162.16	$162.16	$162.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.06 / $193.82 / $276.87	Professional		$138.06	$193.82	$276.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $215.97 / $1,001.71	Professional		$150.75	$215.97	$1,001.71
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 $168.65 / $175.47 / $186.64	Professional		$168.65	$175.47	$186.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $195.26	Professional		$32.34	$32.34	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $176.49 / $269.37	Professional		$133.94	$176.49	$269.37