Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.33 / $228.62 / $389.76	Facility		$160.33	$228.62	$389.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $187.34 / $311.94	Professional		$142.66	$187.34	$311.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.03 / $233.96 / $233.96	Professional		$223.03	$233.96	$233.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.06 / $629.46 / $2,683.99	Facility		$372.06	$629.46	$2,683.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.30 / $237.07 / $237.07	Professional		$184.30	$237.07	$237.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $343.13	Facility		$184.69	$194.92	$343.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $194.92 / $361.50	Professional		$142.29	$194.92	$361.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $265.14 / $343.13 / $467.91	Professional		$265.14	$343.13	$467.91
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 $405.52 / $405.52 / $405.52	Professional		$405.52	$405.52	$405.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.09 / $251.57 / $264.14	Professional		$176.09	$251.57	$264.14
United Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $155.62 / $267.14	Professional		$129.69	$155.62	$267.14