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 $102.33 / $165.96 / $398.11	Professional		$102.33	$165.96	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $346.74 / $2,137.96	Facility		$257.04	$346.74	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $302.00	Professional		$138.04	$204.17	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $323.59	Professional		$125.89	$194.98	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $426.58	Professional		$141.25	$245.47	$426.58
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 $141.25 / $147.91 / $239.88	Professional		$141.25	$147.91	$239.88
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 $117.49 / $181.97 / $316.23	Professional		$117.49	$181.97	$316.23