Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,230.27 / $5,128.61	Facility		$331.13	$1,230.27	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $309.03 / $1,122.02	Professional		$70.79	$309.03	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $141.25	Professional		$56.23	$70.79	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $851.14 / $1,621.81	Facility		$316.23	$851.14	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $269.15 / $588.84	Professional		$89.13	$269.15	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $309.03 / $794.33	Professional		$89.13	$309.03	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $512.86 / $1,318.26	Professional		$107.15	$512.86	$1,318.26
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 $91.20 / $95.50 / $478.63	Professional		$91.20	$95.50	$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 $85.11 / $371.54 / $870.96	Professional		$85.11	$371.54	$870.96