Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,584.89 / $5,623.41	Facility		$125.89	$1,584.89	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $416.87	Professional		$89.13	$158.49	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $165.96	Professional		$102.33	$131.83	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $316.23 / $1,778.28	Facility		$251.19	$316.23	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $239.88	Professional		$112.20	$173.78	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $234.42	Professional		$100.00	$151.36	$234.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $436.52	Professional		$120.23	$186.21	$436.52
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 $107.15 / $114.82 / $173.78	Professional		$107.15	$114.82	$173.78
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 $97.72 / $134.90 / $229.09	Professional		$97.72	$134.90	$229.09