Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,621.81 / $5,623.41	Facility		$478.63	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $707.95	Professional		$245.47	$316.23	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $380.19	Professional		$295.12	$295.12	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $6,025.60	Facility		$316.23	$426.58	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $602.56	Professional		$331.13	$457.09	$602.56
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 $257.04 / $389.05 / $588.84	Professional		$257.04	$389.05	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $1,071.52	Professional		$302.00	$478.63	$1,071.52
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 $331.13 / $346.74 / $416.87	Professional		$331.13	$346.74	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
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 $245.47 / $331.13 / $562.34	Professional		$245.47	$331.13	$562.34