Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $228.27 / $18,601.47	Facility		$172.55	$228.27	$18,601.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $173.03 / $218.01	Professional		$172.55	$173.03	$218.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $272.30 / $272.30	Professional		$172.55	$272.30	$272.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.94 / $645.57 / $2,639.33	Facility		$280.94	$645.57	$2,639.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.03 / $198.79 / $198.79	Professional		$176.03	$198.79	$198.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $212.21	Professional		$173.03	$173.03	$212.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $214.56 / $394.68	Professional		$147.08	$214.56	$394.68
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 $224.94 / $224.94 / $224.94	Professional		$224.94	$224.94	$224.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.92 / $230.89 / $247.38	Professional		$164.92	$230.89	$247.38
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $183.41 / $195.66	Professional		$173.03	$183.41	$195.66