Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $1,548.82 / $7,762.47	Facility		$70.79	$1,548.82	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $141.25 / $371.54	Professional		$51.29	$141.25	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $128.82 / $141.25	Professional		$60.26	$128.82	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,071.52 / $1,288.25	Facility		$512.86	$1,071.52	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $147.91 / $251.19	Professional		$66.07	$147.91	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $147.91 / $275.42	Professional		$63.10	$147.91	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $218.78 / $489.78	Professional		$74.13	$218.78	$489.78
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 $66.07 / $70.79 / $204.17	Professional		$66.07	$70.79	$204.17
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 $512.86 / $1,479.11 / $3,801.89	Facility		$512.86	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $131.83 / $263.03	Professional		$61.66	$131.83	$263.03