Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,202.26 / $5,370.32	Facility		$363.08	$1,202.26	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $741.31	Professional		$208.93	$354.81	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $199.53 / $213.80	Professional		$173.78	$199.53	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $4,570.88	Facility		$524.81	$707.95	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $645.65	Professional		$288.40	$416.87	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $707.95	Professional		$245.47	$407.38	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $524.81 / $1,174.90	Professional		$281.84	$524.81	$1,174.90
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 $281.84 / $302.00 / $524.81	Professional		$281.84	$302.00	$524.81
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 $239.88 / $380.19 / $691.83	Professional		$239.88	$380.19	$691.83