Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,621.81 / $5,623.41	Facility		$302.00	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $446.68	Professional		$117.49	$234.42	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $794.33 / $2,454.71	Facility		$602.56	$794.33	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $467.74	Professional		$144.54	$257.04	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $446.68	Professional		$134.90	$251.19	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $346.74 / $776.25	Professional		$151.36	$346.74	$776.25
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 $147.91 / $151.36 / $346.74	Professional		$147.91	$151.36	$346.74
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 / $758.58 / $2,187.76	Facility		$158.49	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $446.68	Professional		$125.89	$239.88	$446.68