Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $831.76	Facility		$123.03	$123.03	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $436.52	Professional		$109.65	$134.90	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $181.97 / $323.59	Professional		$177.83	$181.97	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $602.56 / $1,659.59	Facility		$331.13	$602.56	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $181.97	Professional		$154.88	$181.97	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $269.15	Facility		$151.36	$151.36	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $275.42	Professional		$112.20	$112.20	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $346.74	Professional		$199.53	$245.47	$346.74
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 $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $223.87	Professional		$154.88	$154.88	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $190.55 / $346.74	Facility		$91.20	$190.55	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $186.21	Professional		$89.13	$120.23	$186.21