Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,288.25 / $5,623.41	Facility		$158.49	$1,288.25	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $295.12	Professional		$75.86	$120.23	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $208.93	Professional		$109.65	$134.90	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,071.52 / $2,089.30	Facility		$398.11	$1,071.52	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $223.87	Professional		$104.71	$151.36	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $223.87	Professional		$89.13	$141.25	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $436.52	Professional		$114.82	$204.17	$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 $91.20 / $104.71 / $169.82	Professional		$91.20	$104.71	$169.82
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $213.80	Professional		$85.11	$131.83	$213.80