Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $426.58 / $3,235.94	Facility		$114.82	$426.58	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $446.68	Professional		$79.43	$147.91	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $125.89	Professional		$61.66	$81.28	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $380.19 / $1,698.24	Facility		$316.23	$380.19	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $204.17	Professional		$91.20	$125.89	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $218.78	Professional		$83.18	$128.82	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $524.81	Professional		$104.71	$169.82	$524.81
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 / $97.72 / $138.04	Professional		$95.50	$97.72	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $147.91	Professional		$32.36	$32.36	$147.91
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 $81.28 / $120.23 / $204.17	Professional		$81.28	$120.23	$204.17