Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.83 / $1,129.00 / $5,389.00	Facility		$271.83	$1,129.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.81 / $422.92 / $978.07	Professional		$149.81	$422.92	$978.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $531.19 / $531.19 / $531.19	Professional		$531.19	$531.19	$531.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.05 / $1,612.96 / $3,229.95	Facility		$754.05	$1,612.96	$3,229.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.07 / $576.32 / $891.56	Professional		$173.07	$576.32	$891.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $368.42 / $1,037.78	Professional		$154.38	$368.42	$1,037.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.32 / $809.03 / $1,451.84	Professional		$204.32	$809.03	$1,451.84
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 $153.41 / $179.91 / $749.35	Professional		$153.41	$179.91	$749.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $847.34	Professional		$32.34	$32.34	$847.34
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.78 / $862.74 / $1,359.01	Professional		$577.78	$862.74	$1,359.01