Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,288.25 / $8,128.31	Facility		$131.83	$1,288.25	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $389.05	Professional		$75.86	$151.36	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $158.49	Professional		$72.44	$117.49	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $630.96 / $1,949.84	Facility		$524.81	$630.96	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $257.04	Professional		$123.03	$177.83	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $269.15	Professional		$107.15	$165.96	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $416.87	Professional		$123.03	$213.80	$416.87
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 $125.89 / $131.83 / $208.93	Professional		$125.89	$131.83	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $275.42	Professional		$97.72	$154.88	$275.42