Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,737.80 / $4,677.35	Facility		$147.91	$1,737.80	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $398.11	Professional		$87.10	$144.54	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,023.29 / $1,513.56	Facility		$549.54	$1,023.29	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $213.80	Professional		$104.71	$144.54	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $257.04	Professional		$102.33	$165.96	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $794.33	Professional		$120.23	$199.53	$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 $95.50 / $109.65 / $177.83	Professional		$95.50	$109.65	$177.83
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 $100.00 / $158.49 / $269.15	Professional		$100.00	$158.49	$269.15