Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,071.52 / $6,760.83	Facility		$89.13	$1,071.52	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $251.19	Professional		$67.61	$112.20	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $109.65	Professional		$60.26	$85.11	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $1,096.48	Facility		$257.04	$309.03	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $95.50	Professional		$72.44	$83.18	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $169.82	Professional		$74.13	$107.15	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $263.03	Professional		$85.11	$131.83	$263.03
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 $93.33 / $93.33 / $123.03	Professional		$93.33	$93.33	$123.03
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 $158.49 / $691.83 / $2,187.76	Facility		$158.49	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $162.18	Professional		$67.61	$93.33	$162.18