Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.09 / $1,017.00 / $5,405.00	Facility		$139.09	$1,017.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $122.73 / $260.20	Professional		$63.50	$122.73	$260.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $139.16 / $139.16	Professional		$139.16	$139.16	$139.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.53 / $693.23 / $1,387.43	Facility		$477.53	$693.23	$1,387.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $155.88 / $249.29	Professional		$84.00	$155.88	$249.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $133.10 / $246.00	Professional		$74.73	$133.10	$246.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $200.06 / $346.55	Professional		$93.74	$200.06	$346.55
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 $84.44 / $89.65 / $199.88	Professional		$84.44	$89.65	$199.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $226.01	Professional		$32.34	$32.34	$226.01
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.61 / $180.81 / $328.33	Professional		$122.61	$180.81	$328.33