Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $173.78 / $616.60	Facility		$141.25	$173.78	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $338.84	Professional		$138.04	$181.97	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $338.84	Professional		$154.88	$251.19	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $645.65 / $2,290.87	Facility		$407.38	$645.65	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $257.04	Professional		$181.97	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $371.54	Facility		$218.78	$218.78	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $363.08	Professional		$158.49	$158.49	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $501.19	Professional		$288.40	$407.38	$501.19
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 $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $251.19	Professional		$177.83	$177.83	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $269.15 / $501.19	Facility		$131.83	$269.15	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $257.04	Professional		$128.82	$165.96	$257.04