Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $1,202.26 / $6,025.60	Facility		$77.62	$1,202.26	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $102.33 / $281.84	Professional		$46.77	$102.33	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $91.20 / $141.25	Professional		$34.67	$91.20	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $630.96 / $1,230.27	Facility		$234.42	$630.96	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $194.98	Professional		$60.26	$107.15	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $186.21	Professional		$57.54	$104.71	$186.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $154.88 / $380.19	Professional		$72.44	$154.88	$380.19
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 $60.26 / $63.10 / $144.54	Professional		$60.26	$63.10	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $87.10	Professional		$85.11	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $162.18	Professional		$54.95	$91.20	$162.18