Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,023.29 / $5,623.41	Facility		$331.13	$1,023.29	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $660.69	Professional		$186.21	$316.23	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $3,981.07	Facility		$524.81	$707.95	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $602.56	Professional		$251.19	$371.54	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $616.60	Professional		$223.87	$363.08	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $478.63 / $1,023.29	Professional		$245.47	$478.63	$1,023.29
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 $257.04 / $269.15 / $478.63	Professional		$257.04	$269.15	$478.63
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 $208.93 / $338.84 / $630.96	Professional		$208.93	$338.84	$630.96