Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,584.89 / $5,888.44	Facility		$380.19	$1,584.89	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $870.96	Professional		$275.42	$363.08	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $501.19	Professional		$213.80	$269.15	$501.19
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 $371.54 / $512.86 / $676.08	Professional		$371.54	$512.86	$676.08
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 $288.40 / $436.52 / $660.69	Professional		$288.40	$436.52	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $1,258.93	Professional		$346.74	$537.03	$1,258.93
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 $371.54 / $380.19 / $467.74	Professional		$371.54	$380.19	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
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 $275.42 / $371.54 / $630.96	Professional		$275.42	$371.54	$630.96