Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.51 / $151.51 / $151.51	Facility		$151.51	$151.51	$151.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $151.51 / $258.12	Professional		$132.62	$151.51	$258.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.09 / $221.09 / $221.09	Professional		$221.09	$221.09	$221.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.98 / $597.17 / $2,536.42	Facility		$352.98	$597.17	$2,536.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.99 / $224.03 / $224.03	Professional		$189.99	$224.03	$224.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $324.26	Facility		$190.69	$190.69	$324.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $190.69 / $341.63	Professional		$139.19	$190.69	$341.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $250.56 / $353.74 / $442.17	Professional		$250.56	$353.74	$442.17
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 $383.21 / $383.21 / $383.21	Professional		$383.21	$383.21	$383.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.52 / $222.18 / $233.28	Professional		$155.52	$222.18	$233.28
United Facility/Professional Professional Modifier Low / Median / High Price $115.15 / $147.07 / $258.22	Professional		$115.15	$147.07	$258.22