Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.48 / $171.47 / $270.72	Facility		$117.48	$171.47	$270.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $125.54 / $209.35	Professional		$107.10	$125.54	$209.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.87 / $198.87 / $198.87	Professional		$198.87	$198.87	$198.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.83 / $473.44 / $2,013.05	Facility		$279.83	$473.44	$2,013.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.80 / $177.81 / $177.81	Professional		$150.80	$177.81	$177.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $256.08	Facility		$130.59	$130.59	$256.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $174.15 / $236.78	Professional		$95.33	$174.15	$236.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $257.36 / $350.94	Professional		$202.73	$257.36	$350.94
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 $304.14 / $304.14 / $304.14	Professional		$304.14	$304.14	$304.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.08 / $188.69 / $198.12	Professional		$132.08	$188.69	$198.12
United Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $116.72 / $200.38	Professional		$86.39	$116.72	$200.38