Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $870.96 / $4,677.35	Facility		$223.87	$870.96	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $645.65	Professional		$138.04	$251.19	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $316.23	Professional		$141.25	$218.78	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $630.96 / $2,754.23	Facility		$524.81	$630.96	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $426.58	Professional		$177.83	$269.15	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $457.09	Professional		$154.88	$257.04	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $630.96	Professional		$177.83	$346.74	$630.96
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 $181.97 / $186.21 / $346.74	Professional		$181.97	$186.21	$346.74
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 $147.91 / $239.88 / $436.52	Professional		$147.91	$239.88	$436.52