Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,348.96 / $5,623.41	Facility		$144.54	$1,348.96	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $194.98 / $645.65	Professional		$77.62	$194.98	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $190.55	Professional		$61.66	$87.10	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,202.26 / $2,290.87	Facility		$446.68	$1,202.26	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $181.97 / $371.54	Professional		$89.13	$181.97	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $371.54	Facility		$128.82	$128.82	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $169.82 / $338.84	Professional		$81.28	$169.82	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $275.42 / $954.99	Professional		$104.71	$275.42	$954.99
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 $79.43 / $91.20 / $229.09	Professional		$79.43	$91.20	$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 $154.88 / $812.83 / $2,344.23	Facility		$154.88	$812.83	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $354.81	Professional		$79.43	$181.97	$354.81