Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.74 / $130.74 / $130.74	Facility		$130.74	$130.74	$130.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $130.74 / $195.31	Professional		$90.38	$130.74	$195.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.11 / $198.11 / $198.11	Professional		$198.11	$198.11	$198.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.41 / $535.30 / $2,272.73	Facility		$316.41	$535.30	$2,272.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.75 / $200.75 / $200.75	Professional		$200.75	$200.75	$200.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $222.79	Facility		$170.89	$170.89	$222.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $170.89 / $306.38	Professional		$124.75	$170.89	$306.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.50 / $273.00 / $346.00	Professional		$222.50	$273.00	$346.00
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 $343.40 / $343.40 / $343.40	Professional		$343.40	$343.40	$343.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $199.10 / $209.05	Professional		$139.37	$199.10	$209.05
United Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $131.78 / $233.35	Professional		$87.86	$131.78	$233.35