Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $758.58 / $4,677.35	Facility		$245.47	$758.58	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $741.31	Professional		$169.82	$295.12	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $346.74	Professional		$138.04	$194.98	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $3,548.13	Facility		$524.81	$707.95	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $512.86	Professional		$229.09	$338.84	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $549.54	Professional		$199.53	$323.59	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $794.33	Professional		$223.87	$407.38	$794.33
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 $234.42 / $245.47 / $407.38	Professional		$234.42	$245.47	$407.38
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 $190.55 / $302.00 / $537.03	Professional		$190.55	$302.00	$537.03