Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,380.38 / $5,623.41	Facility		$177.83	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $302.00	Professional		$81.28	$134.90	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $154.88	Professional		$97.72	$112.20	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,737.80	Facility		$812.83	$1,023.29	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $245.47	Professional		$112.20	$162.18	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $269.15	Professional		$102.33	$158.49	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $446.68	Professional		$120.23	$204.17	$446.68
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 $107.15 / $117.49 / $194.98	Professional		$107.15	$117.49	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$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 / $151.36 / $269.15	Professional		$95.50	$151.36	$269.15