Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,548.82 / $4,677.35	Facility		$302.00	$1,548.82	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $316.23 / $954.99	Professional		$72.44	$316.23	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $100.00	Professional		$74.13	$83.18	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $891.25 / $1,737.80	Facility		$331.13	$891.25	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $281.84 / $602.56	Professional		$93.33	$281.84	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $316.23 / $812.83	Professional		$93.33	$316.23	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $512.86 / $1,380.38	Professional		$112.20	$512.86	$1,380.38
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 $95.50 / $102.33 / $478.63	Professional		$95.50	$102.33	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $380.19 / $891.25	Professional		$91.20	$380.19	$891.25