Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.56 / $202.78 / $214.30	Facility		$192.56	$202.78	$214.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $122.43 / $288.27	Professional		$100.37	$122.43	$288.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $124.65 / $124.65	Professional		$124.65	$124.65	$124.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.16 / $504.06 / $505.72	Facility		$295.16	$504.06	$505.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $169.75 / $195.74	Professional		$144.29	$169.75	$195.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Facility		$152.16	$152.16	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.83 / $181.01 / $261.12	Professional		$129.83	$181.01	$261.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.78 / $201.92 / $1,000.61	Professional		$140.78	$201.92	$1,000.61
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 $157.99 / $164.06 / $174.30	Professional		$157.99	$164.06	$174.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $182.35	Professional		$32.34	$32.34	$182.35
United Facility/Professional Professional Modifier Low / Median / High Price $126.03 / $167.88 / $254.71	Professional		$126.03	$167.88	$254.71