Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.77 / $1,051.38 / $5,040.33	Facility		$114.77	$1,051.38	$5,040.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $127.74 / $262.50	Professional		$46.48	$127.74	$262.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $64.51 / $152.00	Professional		$42.99	$64.51	$152.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.35 / $642.48 / $1,286.56	Facility		$300.35	$642.48	$1,286.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $160.85 / $301.44	Professional		$57.88	$160.85	$301.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.34 / $146.44 / $301.89	Professional		$55.34	$146.44	$301.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $236.94 / $624.41	Professional		$69.75	$236.94	$624.41
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 $58.73 / $62.43 / $206.56	Professional		$58.73	$62.43	$206.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $233.57	Professional		$32.34	$32.34	$233.57
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $206.79 / $345.40	Professional		$149.13	$206.79	$345.40