Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,318.26 / $5,623.41	Facility		$186.21	$1,318.26	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $363.08	Professional		$100.00	$165.96	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $134.90	Professional		$109.65	$120.23	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $489.78 / $2,187.76	Facility		$407.38	$489.78	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $229.09	Professional		$117.49	$181.97	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $251.19	Professional		$109.65	$165.96	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $426.58	Professional		$104.71	$190.55	$426.58
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 $123.03 / $125.89 / $169.82	Professional		$123.03	$125.89	$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 / $758.58 / $2,187.76	Facility		$151.36	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $239.88	Professional		$104.71	$144.54	$239.88