Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,041.74 / $5,623.41	Facility		$257.04	$2,041.74	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $204.17 / $758.58	Professional		$89.13	$204.17	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $302.00	Professional		$66.07	$77.62	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,137.96 / $2,691.53	Facility		$912.01	$2,137.96	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $380.19 / $776.25	Professional		$97.72	$380.19	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $213.80 / $660.69	Professional		$100.00	$213.80	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $501.19 / $1,071.52	Professional		$114.82	$501.19	$1,071.52
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 $97.72 / $104.71 / $478.63	Professional		$97.72	$104.71	$478.63
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 / $2,238.72 / $4,786.30	Facility		$891.25	$2,238.72	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $346.74 / $741.31	Professional		$95.50	$346.74	$741.31