Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $498.17 / $1,097.52	Facility		$199.53	$498.17	$1,097.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $186.52 / $265.42	Professional		$157.46	$186.52	$265.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $164.80 / $256.57	Professional		$135.00	$164.80	$256.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $1,223.15 / $3,737.26	Facility		$456.40	$1,223.15	$3,737.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $200.12 / $263.36	Professional		$174.73	$200.12	$263.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $490.15 / $937.82	Facility		$227.29	$490.15	$937.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $296.45	Professional		$156.72	$156.72	$296.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $226.10 / $322.86 / $974.50	Professional		$226.10	$322.86	$974.50
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 $326.58 / $332.14 / $352.70	Professional		$326.58	$332.14	$352.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.42 / $292.64 / $441.07	Professional		$178.42	$292.64	$441.07