Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.46 / $370.46 / $406.45	Facility		$370.46	$370.46	$406.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.98 / $301.33 / $385.65	Professional		$242.98	$301.33	$385.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $393.77 / $393.77	Professional		$340.00	$393.77	$393.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.79 / $311.52 / $943.42	Facility		$229.79	$311.52	$943.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.46 / $393.35 / $433.72	Professional		$370.46	$393.35	$433.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $517.19 / $517.19	Facility		$517.19	$517.19	$517.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $532.45	Professional		$378.23	$378.23	$532.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $362.76 / $483.68 / $763.83	Professional		$362.76	$483.68	$763.83
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 $462.98 / $481.60 / $563.84	Professional		$462.98	$481.60	$563.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $637.57	Professional		$32.34	$32.34	$637.57
United Facility/Professional Professional Modifier Low / Median / High Price $334.81 / $464.66 / $747.18	Professional		$334.81	$464.66	$747.18