Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.09 / $1,017.00 / $5,091.00	Facility		$163.09	$1,017.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $163.09 / $394.73	Professional		$94.55	$163.09	$394.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.83 / $218.20 / $245.55	Professional		$181.83	$218.20	$245.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $985.82 / $2,150.21	Facility		$273.41	$985.82	$2,150.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $189.15 / $295.36	Professional		$128.62	$189.15	$295.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $182.39 / $291.95	Professional		$112.90	$182.39	$291.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $244.81 / $457.08	Professional		$133.01	$244.81	$457.08
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 $133.15 / $137.28 / $235.74	Professional		$133.15	$137.28	$235.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $266.57	Professional		$32.34	$32.34	$266.57
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $927.00 / $3,685.00	Facility		$165.00	$927.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $213.64 / $376.54	Professional		$152.60	$213.64	$376.54