Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $977.24 / $5,370.32	Facility		$169.82	$977.24	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $281.84 / $660.69	Professional		$100.00	$281.84	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $208.93 / $2,187.76	Facility		$162.18	$208.93	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $338.84 / $616.60	Professional		$131.83	$338.84	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $257.04 / $575.44	Professional		$125.89	$257.04	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $457.09 / $831.76	Professional		$141.25	$457.09	$831.76
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 $123.03 / $138.04 / $457.09	Professional		$123.03	$138.04	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $691.83 / $2,187.76	Facility		$107.15	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $251.19 / $562.34	Professional		$114.82	$251.19	$562.34