Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,621.81 / $7,762.47	Facility		$128.82	$1,621.81	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $269.15	Professional		$87.10	$128.82	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $1,905.46	Facility		$309.03	$389.05	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $234.42	Professional		$109.65	$177.83	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $218.78	Professional		$93.33	$144.54	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $457.09	Professional		$112.20	$177.83	$457.09
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 $104.71 / $109.65 / $158.49	Professional		$104.71	$109.65	$158.49
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 / $707.95 / $2,187.76	Facility		$158.49	$707.95	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $218.78	Professional		$89.13	$128.82	$218.78