Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,096.48 / $5,623.41	Facility		$199.53	$1,096.48	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $446.68	Professional		$107.15	$204.17	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $109.65	Professional		$93.33	$93.33	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $1,862.09	Facility		$275.42	$371.54	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $295.12	Professional		$128.82	$199.53	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $257.04 / $1,000.00	Facility		$223.87	$257.04	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $389.05	Professional		$114.82	$213.80	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $630.96	Professional		$147.91	$316.23	$630.96
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 $131.83 / $141.25 / $275.42	Professional		$131.83	$141.25	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $691.83 / $2,187.76	Facility		$165.96	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $323.59	Professional		$109.65	$181.97	$323.59