Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,659.59 / $5,623.41	Facility		$288.40	$1,659.59	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $218.78 / $457.09	Professional		$87.10	$218.78	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,819.70	Facility		$870.96	$1,023.29	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $263.03 / $416.87	Professional		$114.82	$263.03	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $489.78	Professional		$112.20	$239.88	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $363.08 / $870.96	Professional		$131.83	$363.08	$870.96
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 $117.49 / $123.03 / $338.84	Professional		$117.49	$123.03	$338.84
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 / $1,445.44 / $3,801.89	Facility		$588.84	$1,445.44	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $245.47 / $478.63	Professional		$109.65	$245.47	$478.63