Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.94 / $392.94 / $447.22	Facility		$392.94	$392.94	$447.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.29 / $321.02 / $428.41	Professional		$226.29	$321.02	$428.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $432.52 / $432.52	Professional		$390.00	$432.52	$432.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.79 / $311.52 / $878.61	Facility		$229.79	$311.52	$878.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.94 / $418.70 / $479.58	Professional		$392.94	$418.70	$479.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $547.66 / $547.66	Facility		$547.66	$547.66	$547.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $565.79	Professional		$418.11	$418.11	$565.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $392.94 / $529.94 / $825.17	Professional		$392.94	$529.94	$825.17
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 $490.95 / $510.82 / $623.45	Professional		$490.95	$510.82	$623.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $704.98	Professional		$32.34	$32.34	$704.98
United Facility/Professional Professional Modifier Low / Median / High Price $375.63 / $522.99 / $844.27	Professional		$375.63	$522.99	$844.27