Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $165.37 / $287.01	Facility		$136.22	$165.37	$287.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.66 / $165.11	Professional		$136.22	$136.66	$165.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.22 / $136.22	Professional		$136.22	$136.22	$136.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.27 / $509.43 / $2,429.51	Facility		$334.27	$509.43	$2,429.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $163.03 / $174.00	Professional		$144.36	$163.03	$174.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $136.66 / $136.66	Facility		$136.66	$136.66	$136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $159.53	Professional		$136.66	$136.66	$159.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.60 / $177.67 / $343.98	Professional		$131.60	$177.67	$343.98
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 $177.67 / $177.67 / $177.67	Professional		$177.67	$177.67	$177.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $185.82 / $199.10	Professional		$132.72	$185.82	$199.10
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $144.53 / $152.13	Professional		$136.66	$144.53	$152.13