Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,258.93 / $5,623.41	Facility		$338.84	$1,258.93	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $851.14	Professional		$281.84	$398.11	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $524.81	Professional		$199.53	$302.00	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $7,079.46	Facility		$316.23	$426.58	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $691.83	Professional		$389.05	$537.03	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $676.08	Professional		$302.00	$446.68	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,348.96	Professional		$346.74	$549.54	$1,348.96
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 $398.11 / $407.38 / $478.63	Professional		$398.11	$407.38	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $724.44 / $2,187.76	Facility		$158.49	$724.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $645.65	Professional		$281.84	$380.19	$645.65