Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $323.59 / $331.13	Facility		$186.21	$323.59	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $323.59	Professional		$162.18	$199.53	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $218.78	Professional		$199.53	$213.80	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $489.78 / $575.44	Professional		$229.09	$489.78	$575.44
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 $245.47 / $257.04 / $275.42	Professional		$245.47	$257.04	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $380.19	Professional		$181.97	$245.47	$380.19