Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $204.17	Facility		$97.72	$97.72	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $194.98	Professional		$85.11	$102.33	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $204.17	Professional		$147.91	$147.91	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $389.05 / $1,778.28	Facility		$245.47	$389.05	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $199.53	Professional		$151.36	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $223.87	Facility		$120.23	$120.23	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $218.78	Professional		$87.10	$87.10	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $245.47	Professional		$162.18	$199.53	$245.47
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 $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $120.23	Professional		$85.11	$85.11	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $158.49 / $288.40	Facility		$117.49	$158.49	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $158.49	Professional		$75.86	$100.00	$158.49