Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,202.26 / $7,762.47	Facility		$125.89	$1,202.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $125.89 / $302.00	Professional		$56.23	$125.89	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $114.82	Professional		$56.23	$95.50	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $1,148.15	Facility		$257.04	$309.03	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $223.87	Professional		$72.44	$131.83	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $229.09	Professional		$69.18	$123.03	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $323.59	Professional		$79.43	$181.97	$323.59
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 $72.44 / $77.62 / $177.83	Professional		$72.44	$77.62	$177.83
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 $64.57 / $120.23 / $229.09	Professional		$64.57	$120.23	$229.09