Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,288.25 / $5,623.41	Facility		$275.42	$1,288.25	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $478.63	Professional		$114.82	$213.80	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $173.78	Professional		$95.50	$114.82	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $2,951.21	Facility		$524.81	$645.65	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $407.38	Professional		$186.21	$275.42	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $416.87	Professional		$162.18	$263.03	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $691.83	Professional		$186.21	$338.84	$691.83
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 $194.98 / $199.53 / $323.59	Professional		$194.98	$199.53	$323.59
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 $154.88 / $245.47 / $436.52	Professional		$154.88	$245.47	$436.52