Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,862.09 / $8,912.51	Facility		$186.21	$1,862.09	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $407.38	Professional		$91.20	$158.49	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $128.82 / $186.21	Professional		$53.70	$128.82	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,905.46	Facility		$870.96	$1,023.29	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $234.42	Professional		$125.89	$162.18	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $263.03	Professional		$104.71	$162.18	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $416.87	Professional		$120.23	$199.53	$416.87
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 $128.82 / $131.83 / $186.21	Professional		$128.82	$131.83	$186.21
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 $95.50 / $144.54 / $257.04	Professional		$95.50	$144.54	$257.04