Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $269.15	Facility		$165.96	$165.96	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $446.68	Professional		$162.18	$208.93	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $251.19 / $346.74	Professional		$117.49	$251.19	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $660.69 / $3,162.28	Facility		$489.78	$660.69	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $199.53 / $199.53	Professional		$173.78	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $457.09	Facility		$302.00	$302.00	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $354.81	Professional		$218.78	$218.78	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $501.19 / $645.65	Professional		$263.03	$501.19	$645.65
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 $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $323.59	Professional		$223.87	$223.87	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $208.93 / $588.84	Facility		$190.55	$208.93	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $380.19	Professional		$165.96	$245.47	$380.19