Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,513.56 / $6,760.83	Facility		$154.88	$1,513.56	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $389.05	Professional		$107.15	$169.82	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $162.18	Professional		$72.44	$138.04	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,187.76 / $2,818.38	Facility		$478.63	$2,187.76	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $281.84	Professional		$141.25	$199.53	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $302.00	Professional		$120.23	$190.55	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $457.09	Professional		$138.04	$234.42	$457.09
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 $141.25 / $147.91 / $229.09	Professional		$141.25	$147.91	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $4,786.30	Facility		$1,174.90	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $309.03	Professional		$114.82	$169.82	$309.03