Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,288.25 / $5,623.41	Facility		$125.89	$1,288.25	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $346.74	Professional		$70.79	$134.90	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $104.71 / $120.23	Professional		$36.31	$104.71	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,513.56	Facility		$758.58	$1,023.29	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $208.93	Professional		$100.00	$144.54	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $218.78	Professional		$85.11	$134.90	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $346.74	Professional		$97.72	$177.83	$346.74
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 $102.33 / $104.71 / $169.82	Professional		$102.33	$104.71	$169.82
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 $588.84 / $1,479.11 / $3,801.89	Facility		$588.84	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $223.87	Professional		$75.86	$123.03	$223.87