Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $363.08 / $1,000.00	Facility		$165.96	$363.08	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $602.56	Professional		$144.54	$229.09	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $457.09	Professional		$229.09	$288.40	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $562.34 / $2,884.03	Facility		$173.78	$562.34	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $398.11	Professional		$229.09	$275.42	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $467.74 / $933.25	Facility		$169.82	$467.74	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $316.23	Professional		$151.36	$234.42	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $616.60	Professional		$199.53	$338.84	$616.60
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 $275.42 / $288.40 / $309.03	Professional		$275.42	$288.40	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $1,047.13	Facility		$218.78	$218.78	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $363.08	Professional		$158.49	$245.47	$363.08