Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,862.09 / $5,754.40	Facility		$380.19	$1,862.09	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $478.63 / $1,412.54	Professional		$77.62	$478.63	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $263.03	Professional		$66.07	$100.00	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $977.24 / $1,862.09	Facility		$363.08	$977.24	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $281.84 / $912.01	Professional		$102.33	$281.84	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $478.63 / $1,202.26	Professional		$102.33	$478.63	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $794.33 / $1,949.84	Professional		$123.03	$794.33	$1,949.84
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 $104.71 / $112.20 / $741.31	Professional		$104.71	$112.20	$741.31
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $575.44 / $1,318.26	Professional		$95.50	$575.44	$1,318.26