Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $189.82 / $2,419.39	Facility		$109.28	$189.82	$2,419.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $151.86	Professional		$108.47	$108.47	$151.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $109.28 / $109.28	Professional		$109.28	$109.28	$109.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.14 / $941.82 / $2,289.91	Facility		$274.14	$941.82	$2,289.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.15 / $136.15 / $166.54	Professional		$136.15	$136.15	$166.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $108.47 / $108.47	Facility		$108.47	$108.47	$108.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $180.49	Professional		$108.47	$108.47	$180.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $162.71 / $1,472.40	Professional		$108.47	$162.71	$1,472.40
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 $141.01 / $141.01 / $141.01	Professional		$141.01	$141.01	$141.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $210.57 / $225.62	Professional		$150.41	$210.57	$225.62
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $114.98 / $135.59	Professional		$108.47	$114.98	$135.59