Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,737.80 / $5,623.41	Facility		$162.18	$1,737.80	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $204.17 / $758.58	Professional		$70.79	$204.17	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $95.50	Professional		$38.90	$70.79	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,548.82	Facility		$758.58	$1,023.29	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $354.81 / $562.34	Professional		$97.72	$354.81	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $251.19 / $676.08	Professional		$93.33	$251.19	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $446.68 / $891.25	Professional		$107.15	$446.68	$891.25
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 $97.72 / $104.71 / $457.09	Professional		$97.72	$104.71	$457.09
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 $588.84 / $1,479.11 / $3,801.89	Facility		$588.84	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $338.84 / $851.14	Professional		$89.13	$338.84	$851.14