Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.38 / $143.38 / $143.38	Facility		$143.38	$143.38	$143.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $146.04 / $223.18	Professional		$127.02	$146.04	$223.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $199.46 / $199.46	Professional		$156.91	$199.46	$199.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.90 / $564.90 / $2,400.36	Facility		$333.90	$564.90	$2,400.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.25 / $212.02 / $212.02	Professional		$185.25	$212.02	$212.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $306.87	Facility		$174.32	$174.32	$306.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $174.32 / $323.25	Professional		$127.25	$174.32	$323.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $237.12 / $339.16 / $418.46	Professional		$237.12	$339.16	$418.46
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 $362.66 / $362.66 / $362.66	Professional		$362.66	$362.66	$362.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.18 / $210.27 / $220.78	Professional		$147.18	$210.27	$220.78
United Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $139.18 / $239.64	Professional		$108.97	$139.18	$239.64