Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,862.09 / $5,623.41	Facility		$223.87	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $380.19	Professional		$107.15	$147.91	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $2,951.21	Facility		$316.23	$426.58	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $269.15	Professional		$158.49	$218.78	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $263.03	Professional		$125.89	$181.97	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $630.96	Professional		$147.91	$251.19	$630.96
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 $158.49 / $165.96 / $186.21	Professional		$158.49	$165.96	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $112.20 / $151.36 / $263.03	Professional		$112.20	$151.36	$263.03