Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.33 / $228.62 / $409.85	Facility		$160.33	$228.62	$409.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $195.31 / $311.94	Professional		$142.66	$195.31	$311.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.14 / $233.96 / $311.94	Professional		$171.14	$233.96	$311.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.76 / $1,502.03 / $3,276.12	Facility		$411.76	$1,502.03	$3,276.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.15 / $237.07 / $237.07	Professional		$207.15	$237.07	$237.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $343.13	Facility		$214.16	$214.16	$343.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $214.16 / $361.50	Professional		$156.34	$214.16	$361.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $370.60 / $500.14	Professional		$296.33	$370.60	$500.14
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 $78.26 / $111.80 / $117.39	Professional		$78.26	$111.80	$117.39
United Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $154.24 / $311.94	Facility		$109.87	$154.24	$311.94
United Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $155.62 / $275.57	Professional		$129.69	$155.62	$275.57