Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.42 / $167.42 / $167.42	Facility		$167.42	$167.42	$167.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $186.02 / $288.27	Professional		$143.10	$186.02	$288.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.31 / $302.31 / $350.00	Professional		$302.31	$302.31	$350.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $532.05 / $1,568.45 / $3,421.00	Facility		$532.05	$1,568.45	$3,421.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.26 / $200.60 / $200.60	Professional		$174.26	$200.60	$200.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $442.07	Facility		$301.51	$301.51	$442.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $248.75 / $353.25	Professional		$220.10	$248.75	$353.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $448.72 / $646.50	Professional		$263.95	$448.72	$646.50
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 $343.14 / $343.14 / $343.14	Professional		$343.14	$343.14	$343.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.37 / $321.95 / $338.05	Professional		$225.37	$321.95	$338.05
United Facility/Professional Professional Modifier Low / Median / High Price $164.71 / $247.06 / $426.36	Professional		$164.71	$247.06	$426.36