Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,202.26 / $7,762.47	Facility		$123.03	$1,202.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $120.23 / $316.23	Professional		$57.54	$120.23	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $194.98	Professional		$95.50	$112.20	$194.98
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 $74.13 / $131.83 / $223.87	Professional		$74.13	$131.83	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $218.78	Professional		$66.07	$117.49	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $331.13	Professional		$79.43	$177.83	$331.13
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 $74.13 / $79.43 / $177.83	Professional		$74.13	$79.43	$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 $61.66 / $112.20 / $213.80	Professional		$61.66	$112.20	$213.80