Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $1,096.48 / $5,623.41	Facility		$97.72	$1,096.48	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $213.80	Professional		$51.29	$100.00	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $85.11 / $91.20	Professional		$38.90	$85.11	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $363.08 / $1,230.27	Facility		$186.21	$363.08	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $194.98	Professional		$64.57	$109.65	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $177.83	Professional		$60.26	$102.33	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $416.87	Professional		$75.86	$144.54	$416.87
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 $61.66 / $66.07 / $131.83	Professional		$61.66	$66.07	$131.83
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 $158.49 / $707.95 / $2,187.76	Facility		$158.49	$707.95	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $104.71 / $186.21	Professional		$58.88	$104.71	$186.21