Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $154.88 / $169.82	Facility		$95.50	$154.88	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $125.89	Professional		$95.50	$95.50	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $870.96 / $2,884.03	Facility		$389.05	$870.96	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $257.04 / $275.42	Professional		$245.47	$257.04	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $151.36 / $346.74	Professional		$43.65	$151.36	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81