Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,023.29 / $3,801.89	Facility		$93.33	$1,023.29	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $91.20 / $346.74	Professional		$38.02	$91.20	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $131.83	Professional		$35.48	$50.12	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $912.01 / $1,202.26	Facility		$173.78	$912.01	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $162.18	Professional		$51.29	$95.50	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $190.55	Professional		$48.98	$102.33	$190.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $141.25 / $346.74	Professional		$58.88	$141.25	$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 $48.98 / $53.70 / $128.82	Professional		$48.98	$53.70	$128.82
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 / $1,445.44 / $3,801.89	Facility		$588.84	$1,445.44	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $100.00 / $190.55	Professional		$46.77	$100.00	$190.55