Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,621.81 / $5,623.41	Facility		$234.42	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $380.19	Professional		$107.15	$177.83	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $346.74 / $2,187.76	Facility		$257.04	$346.74	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $316.23	Professional		$141.25	$208.93	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $323.59	Professional		$128.82	$199.53	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $457.09	Professional		$144.54	$257.04	$457.09
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 $144.54 / $151.36 / $251.19	Professional		$144.54	$151.36	$251.19
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 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $331.13	Professional		$123.03	$190.55	$331.13