Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,862.09 / $7,079.46	Facility		$331.13	$1,862.09	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $660.69	Professional		$93.33	$141.25	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,238.72 / $2,884.03	Facility		$912.01	$2,238.72	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $208.93	Professional		$112.20	$204.17	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $316.23	Professional		$100.00	$147.91	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $1,122.02	Professional		$100.00	$162.18	$1,122.02
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 $107.15 / $117.49 / $125.89	Professional		$107.15	$117.49	$125.89
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 $660.69 / $1,479.11 / $4,168.69	Facility		$660.69	$1,479.11	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $457.09	Professional		$97.72	$162.18	$457.09