Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,202.26 / $7,762.47	Facility		$138.04	$1,202.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $588.84	Professional		$112.20	$186.21	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $204.17	Professional		$125.89	$138.04	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $346.74 / $2,691.53	Facility		$257.04	$346.74	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $288.40	Professional		$141.25	$213.80	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $269.15	Professional		$120.23	$181.97	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $426.58	Professional		$134.90	$213.80	$426.58
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 / $141.25 / $194.98	Professional		$138.04	$141.25	$194.98
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 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $275.42	Professional		$112.20	$158.49	$275.42