Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $1,071.52	Facility		$177.83	$177.83	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $363.08	Professional		$147.91	$194.98	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $338.84	Professional		$199.53	$275.42	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $691.83 / $2,454.71	Facility		$426.58	$691.83	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $380.19	Facility		$208.93	$208.93	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $371.54	Professional		$151.36	$151.36	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $524.81	Professional		$302.00	$416.87	$524.81
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 $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $288.40	Professional		$204.17	$204.17	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $288.40 / $549.54	Facility		$218.78	$288.40	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $275.42	Professional		$138.04	$177.83	$275.42