Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,548.82 / $5,623.41	Facility		$346.74	$1,548.82	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $489.78	Professional		$173.78	$234.42	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $234.42	Professional		$186.21	$194.98	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $4,168.69	Facility		$316.23	$426.58	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $426.58	Professional		$229.09	$316.23	$426.58
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 $194.98 / $281.84 / $426.58	Professional		$194.98	$281.84	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $851.14	Professional		$223.87	$346.74	$851.14
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 $239.88 / $245.47 / $295.12	Professional		$239.88	$245.47	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
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 $177.83 / $239.88 / $416.87	Professional		$177.83	$239.88	$416.87