Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.45 / $186.08 / $14,278.22	Facility		$108.45	$186.08	$14,278.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $107.40 / $2,012.52	Professional		$106.33	$107.40	$2,012.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $136.04 / $136.04	Professional		$106.33	$136.04	$136.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.52 / $608.87 / $2,903.74	Facility		$399.52	$608.87	$2,903.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $160.47 / $196.32	Professional		$160.47	$160.47	$196.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $106.33 / $106.33	Facility		$106.33	$106.33	$106.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $176.69	Professional		$106.33	$106.33	$176.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $417.50 / $863.85	Professional		$106.33	$417.50	$863.85
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 $138.22 / $138.22 / $138.22	Professional		$138.22	$138.22	$138.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.60 / $229.04 / $245.40	Professional		$163.60	$229.04	$245.40
United Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $112.71 / $132.91	Professional		$106.33	$112.71	$132.91