Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,548.82 / $5,623.41	Facility		$213.80	$1,548.82	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $354.81	Professional		$112.20	$181.97	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $2,290.87	Facility		$562.34	$794.33	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $309.03	Professional		$138.04	$213.80	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $323.59	Professional		$128.82	$213.80	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $870.96	Professional		$154.88	$263.03	$870.96
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 $138.04 / $144.54 / $229.09	Professional		$138.04	$144.54	$229.09
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 $128.82 / $194.98 / $331.13	Professional		$128.82	$194.98	$331.13