Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $1,380.38 / $5,623.41	Facility		$87.10	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $263.03	Professional		$50.12	$93.33	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $109.65	Professional		$72.44	$89.13	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $1,047.13	Facility		$512.86	$645.65	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $158.49	Professional		$66.07	$100.00	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $177.83	Professional		$61.66	$104.71	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $407.38	Professional		$72.44	$138.04	$407.38
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 $64.57 / $70.79 / $125.89	Professional		$64.57	$70.79	$125.89
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 $158.49 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $173.78	Professional		$60.26	$104.71	$173.78