Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,621.81 / $5,623.41	Facility		$257.04	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $354.81	Professional		$114.82	$186.21	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $630.96 / $2,344.23	Facility		$524.81	$630.96	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $346.74	Professional		$154.88	$223.87	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $354.81	Professional		$138.04	$218.78	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $575.44	Professional		$154.88	$288.40	$575.44
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 $158.49 / $162.18 / $275.42	Professional		$158.49	$162.18	$275.42
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 $131.83 / $204.17 / $363.08	Professional		$131.83	$204.17	$363.08