Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $407.38 / $5,128.61	Facility		$158.49	$407.38	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $309.03 / $724.44	Professional		$134.90	$309.03	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $190.55	Professional		$120.23	$144.54	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $346.74 / $3,090.30	Facility		$257.04	$346.74	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $645.65	Professional		$169.82	$323.59	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $288.40 / $549.54	Professional		$144.54	$288.40	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $467.74 / $812.83	Professional		$181.97	$467.74	$812.83
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 $169.82 / $177.83 / $446.68	Professional		$169.82	$177.83	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $467.74	Professional		$134.90	$257.04	$467.74