Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.72 / $286.27 / $390.37	Facility		$193.72	$286.27	$390.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.23 / $209.80 / $337.70	Professional		$166.23	$209.80	$337.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $332.03 / $332.03 / $585.92	Professional		$332.03	$332.03	$585.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.46 / $790.86 / $3,360.92	Facility		$467.46	$790.86	$3,360.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.34 / $296.87 / $296.87	Professional		$219.34	$296.87	$296.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $412.43	Facility		$233.36	$233.36	$412.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $302.89 / $412.43	Professional		$170.35	$302.89	$412.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $351.56 / $403.92 / $698.49	Professional		$351.56	$403.92	$698.49
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 $507.81 / $507.81 / $507.81	Professional		$507.81	$507.81	$507.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $315.01 / $330.76	Professional		$220.50	$315.01	$330.76
United Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $193.13 / $405.98	Professional		$142.60	$193.13	$405.98