Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.56 / $1,094.00 / $5,091.00	Facility		$171.56	$1,094.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $152.16 / $276.00	Professional		$92.68	$152.16	$276.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $131.88 / $131.88	Professional		$131.88	$131.88	$131.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $940.42 / $2,051.19	Facility		$273.41	$940.42	$2,051.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $180.76 / $276.93	Professional		$123.11	$180.76	$276.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $171.61 / $275.26	Professional		$107.02	$171.61	$275.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $226.55 / $384.98	Professional		$125.88	$226.55	$384.98
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 $126.95 / $131.19 / $221.18	Professional		$126.95	$131.19	$221.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $250.11	Professional		$32.34	$32.34	$250.11
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $201.38 / $351.26	Professional		$142.50	$201.38	$351.26