Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,348.96 / $2,630.27	Facility		$64.57	$1,348.96	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $134.90	Professional		$64.57	$102.33	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $151.36	Professional		$37.15	$52.48	$151.36
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 $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $831.76 / $2,630.27	Facility		$151.36	$831.76	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $380.19	Professional		$33.88	$56.23	$380.19