Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.47 / $386.72 / $566.91	Facility		$202.47	$386.72	$566.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $178.63 / $246.92	Professional		$85.59	$178.63	$246.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $148.15 / $148.15	Professional		$148.15	$148.15	$148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $47.77 / $402.47	Facility		$18.89	$47.77	$402.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $140.74 / $160.50	Professional		$3.50	$140.74	$160.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.52 / $590.64 / $1,136.16	Facility		$101.52	$590.64	$1,136.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $264.20 / $341.73	Professional		$60.16	$264.20	$341.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $370.38 / $766.63	Professional		$200.00	$370.38	$766.63
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 $321.00 / $321.00 / $321.00	Professional		$321.00	$321.00	$321.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $169.39 / $308.64	Professional		$123.46	$169.39	$308.64
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $129.13 / $254.33	Professional		$103.71	$129.13	$254.33