Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,122.02 / $5,888.44	Facility		$114.82	$1,122.02	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $134.90 / $346.74	Professional		$69.18	$134.90	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $134.90	Professional		$85.11	$93.33	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $371.54 / $1,258.93	Facility		$302.00	$371.54	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $204.17	Professional		$79.43	$120.23	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $223.87	Professional		$77.62	$131.83	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $363.08	Professional		$89.13	$173.78	$363.08
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 $83.18 / $87.10 / $162.18	Professional		$83.18	$87.10	$162.18
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 / $724.44 / $2,187.76	Facility		$158.49	$724.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $223.87	Professional		$74.13	$128.82	$223.87