Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,380.38 / $5,623.41	Facility		$128.82	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $120.23 / $323.59	Professional		$58.88	$120.23	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $128.82	Professional		$56.23	$102.33	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,023.29 / $1,258.93	Facility		$537.03	$1,023.29	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $199.53	Professional		$69.18	$117.49	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $229.09	Professional		$70.79	$125.89	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $169.82 / $288.40	Professional		$77.62	$169.82	$288.40
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 / $75.86 / $158.49	Professional		$72.44	$75.86	$158.49
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 $67.61 / $123.03 / $213.80	Professional		$67.61	$123.03	$213.80