Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,621.81 / $6,165.95	Facility		$436.52	$1,621.81	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $478.63 / $1,071.52	Professional		$257.04	$478.63	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $436.52	Professional		$190.55	$229.09	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $707.95 / $5,495.41	Facility		$524.81	$707.95	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $776.25	Professional		$354.81	$512.86	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $891.25	Professional		$331.13	$512.86	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $645.65 / $1,380.38	Professional		$346.74	$645.65	$1,380.38
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 $354.81 / $380.19 / $616.60	Professional		$354.81	$380.19	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$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 $323.59 / $549.54 / $891.25	Professional		$323.59	$549.54	$891.25