Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,862.09 / $5,623.41	Facility		$190.55	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $338.84	Professional		$75.86	$114.82	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $125.89	Professional		$70.79	$83.18	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,096.48 / $2,137.96	Facility		$407.38	$1,096.48	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $208.93	Professional		$117.49	$169.82	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $218.78	Professional		$87.10	$144.54	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $398.11	Professional		$117.49	$186.21	$398.11
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 $109.65 / $123.03 / $169.82	Professional		$109.65	$123.03	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $229.09	Professional		$89.13	$131.83	$229.09