Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,288.25 / $6,456.54	Facility		$158.49	$1,288.25	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.88 / $407.38	Professional		$77.62	$154.88	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $204.17	Professional		$70.79	$102.33	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,137.96	Facility		$870.96	$1,047.13	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $281.84	Professional		$134.90	$199.53	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $302.00	Professional		$117.49	$186.21	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $501.19	Professional		$134.90	$239.88	$501.19
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 $138.04 / $144.54 / $229.09	Professional		$138.04	$144.54	$229.09
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 $107.15 / $169.82 / $302.00	Professional		$107.15	$169.82	$302.00