Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,862.09 / $7,762.47	Facility		$154.88	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $141.25 / $346.74	Professional		$66.07	$141.25	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,995.26 / $2,630.27	Facility		$331.13	$1,995.26	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $245.47	Professional		$81.28	$144.54	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $141.25 / $245.47	Professional		$75.86	$141.25	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $407.38	Professional		$93.33	$194.98	$407.38
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 $81.28 / $85.11 / $181.97	Professional		$81.28	$85.11	$181.97
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 / $2,290.87 / $4,786.30	Facility		$891.25	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $245.47	Professional		$72.44	$138.04	$245.47