Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $346.74	Facility		$134.90	$134.90	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $269.15	Professional		$117.49	$144.54	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $223.87	Professional		$141.25	$204.17	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $524.81 / $2,454.71	Facility		$331.13	$524.81	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $275.42	Professional		$208.93	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $169.82 / $181.97	Facility		$107.15	$169.82	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $316.23	Professional		$125.89	$125.89	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $331.13	Professional		$218.78	$269.15	$331.13
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 $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $158.49	Professional		$109.65	$109.65	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $218.78 / $389.05	Facility		$158.49	$218.78	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $213.80	Professional		$104.71	$134.90	$213.80