Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.40 / $162.36 / $229.60	Facility		$134.40	$162.36	$229.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $147.11 / $239.56	Professional		$110.14	$147.11	$239.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.06 / $233.06 / $233.06	Professional		$233.06	$233.06	$233.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.54 / $554.14 / $2,359.15	Facility		$327.54	$554.14	$2,359.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $208.38 / $208.38	Professional		$163.33	$208.38	$208.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $300.07	Facility		$135.00	$135.00	$300.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $178.00 / $244.22	Professional		$98.55	$178.00	$244.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.53 / $289.38 / $343.98	Professional		$223.53	$289.38	$343.98
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 $356.45 / $356.45 / $356.45	Professional		$356.45	$356.45	$356.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.78 / $221.12 / $232.17	Professional		$154.78	$221.12	$232.17
United Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $136.78 / $234.81	Professional		$101.83	$136.78	$234.81