Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $308.79 / $2,481.40	Facility		$155.41	$308.79	$2,481.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $185.27 / $1,427.84	Professional		$161.63	$185.27	$1,427.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $155.41 / $186.50	Professional		$155.41	$155.41	$186.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $406.63 / $647.50 / $2,293.40	Facility		$406.63	$647.50	$2,293.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.09 / $225.00 / $244.04	Professional		$216.09	$225.00	$244.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $176.45 / $176.45	Facility		$176.45	$176.45	$176.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $233.04	Professional		$176.45	$176.45	$233.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $514.92 / $1,486.35	Professional		$176.45	$514.92	$1,486.35
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 $229.39 / $229.39 / $229.39	Professional		$229.39	$229.39	$229.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.29 / $241.21 / $258.44	Professional		$172.29	$241.21	$258.44
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $187.04 / $213.50	Professional		$176.45	$187.04	$213.50