Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $380.19 / $1,862.09	Facility		$109.65	$380.19	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $120.23 / $338.84	Professional		$54.95	$120.23	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $77.62	Professional		$46.77	$54.95	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $1,148.15	Facility		$257.04	$309.03	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $199.53	Professional		$72.44	$123.03	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $131.83 / $239.88	Professional		$67.61	$131.83	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $169.82 / $537.03	Professional		$81.28	$169.82	$537.03
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 $66.07 / $75.86 / $158.49	Professional		$66.07	$75.86	$158.49
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 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $131.83 / $234.42	Professional		$63.10	$131.83	$234.42