Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,380.38 / $5,623.41	Facility		$234.42	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $512.86	Professional		$162.18	$234.42	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $199.53	Professional		$190.55	$190.55	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $549.54 / $3,467.37	Facility		$407.38	$549.54	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $354.81	Professional		$186.21	$288.40	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $416.87	Professional		$173.78	$263.03	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $812.83	Professional		$165.96	$309.03	$812.83
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 $194.98 / $199.53 / $269.15	Professional		$194.98	$199.53	$269.15
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 $154.88 / $758.58 / $2,187.76	Facility		$154.88	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $398.11	Professional		$169.82	$229.09	$398.11