Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $288.40	Facility		$138.04	$138.04	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $288.40	Professional		$120.23	$154.88	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $1,949.84	Facility		$338.84	$537.03	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $338.84	Facility		$173.78	$173.78	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $323.59	Professional		$128.82	$128.82	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $426.58	Professional		$239.88	$346.74	$426.58
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 $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $223.87	Professional		$158.49	$158.49	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $223.87 / $457.09	Facility		$186.21	$223.87	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $234.42	Professional		$117.49	$138.04	$234.42