Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.43 / $485.58 / $2,989.00	Facility		$233.43	$485.58	$2,989.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $254.88 / $662.04	Professional		$156.06	$254.88	$662.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.15 / $250.15 / $386.37	Professional		$250.15	$250.15	$386.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $1,522.00 / $3,319.68	Facility		$549.75	$1,522.00	$3,319.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.14 / $293.89 / $465.21	Professional		$198.14	$293.89	$465.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.68 / $276.04 / $473.82	Professional		$176.68	$276.04	$473.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.18 / $376.59 / $789.47	Professional		$207.18	$376.59	$789.47
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 $201.81 / $209.92 / $373.20	Professional		$201.81	$209.92	$373.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $422.01	Professional		$32.34	$32.34	$422.01
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $814.00 / $3,685.00	Facility		$204.00	$814.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.81 / $337.05 / $571.29	Professional		$236.81	$337.05	$571.29