Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,318.26 / $5,128.61	Facility		$199.53	$1,318.26	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $204.17 / $457.09	Professional		$87.10	$204.17	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $120.23	Professional		$81.28	$97.72	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,137.96 / $2,818.38	Facility		$870.96	$2,137.96	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $245.47 / $398.11	Professional		$112.20	$245.47	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $234.42 / $446.68	Professional		$112.20	$234.42	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $346.74 / $794.33	Professional		$131.83	$346.74	$794.33
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 $114.82 / $123.03 / $316.23	Professional		$114.82	$123.03	$316.23
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 $891.25 / $2,238.72 / $4,786.30	Facility		$891.25	$2,238.72	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $426.58	Professional		$107.15	$229.09	$426.58