Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $1,318.26 / $5,623.41	Facility		$97.72	$1,318.26	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $181.97	Professional		$57.54	$81.28	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.10 / $89.13	Professional		$57.54	$63.10	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $371.54 / $1,258.93	Facility		$309.03	$371.54	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $144.54	Professional		$72.44	$114.82	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $141.25	Professional		$64.57	$95.50	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $239.88	Professional		$74.13	$112.20	$239.88
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 $67.61 / $72.44 / $95.50	Professional		$67.61	$72.44	$95.50
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 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $144.54	Professional		$61.66	$87.10	$144.54