Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.02 / $218.04 / $1,212.08	Facility		$124.02	$218.04	$1,212.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.18 / $218.04 / $307.38	Professional		$155.18	$218.04	$307.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $350.05 / $350.05 / $350.05	Professional		$350.05	$350.05	$350.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $507.21 / $858.11 / $3,649.96	Facility		$507.21	$858.11	$3,649.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.56 / $322.39 / $322.39	Professional		$248.56	$322.39	$322.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $446.45	Facility		$229.50	$229.50	$446.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $229.50 / $491.63	Professional		$167.54	$229.50	$491.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $278.58 / $379.66 / $487.84	Professional		$278.58	$379.66	$487.84
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 $551.47 / $551.47 / $551.47	Professional		$551.47	$551.47	$551.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.81 / $319.73 / $335.71	Professional		$223.81	$319.73	$335.71
United Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $205.03 / $371.59	Professional		$141.69	$205.03	$371.59