Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.02 / $619.50 / $2,667.22	Facility		$219.02	$619.50	$2,667.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.98 / $287.66 / $754.68	Professional		$166.98	$287.66	$754.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $273.35 / $341.69 / $410.03	Professional		$273.35	$341.69	$410.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $1,692.10 / $3,690.69	Facility		$549.75	$1,692.10	$3,690.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.12 / $324.57 / $501.06	Professional		$222.12	$324.57	$501.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.06 / $303.39 / $515.73	Professional		$185.06	$303.39	$515.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.12 / $402.35 / $818.77	Professional		$219.12	$402.35	$818.77
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 $228.32 / $235.56 / $401.47	Professional		$228.32	$235.56	$401.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $453.97	Professional		$32.34	$32.34	$453.97
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.81 / $367.07 / $647.86	Professional		$257.81	$367.07	$647.86