Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,819.70 / $5,623.41	Facility		$154.88	$1,819.70	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $151.36 / $354.81	Professional		$66.07	$151.36	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,089.30 / $2,818.38	Facility		$309.03	$2,089.30	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $302.00	Professional		$79.43	$165.96	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $165.96 / $309.03	Professional		$77.62	$165.96	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $234.42 / $676.08	Professional		$95.50	$234.42	$676.08
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 $83.18 / $87.10 / $208.93	Professional		$83.18	$87.10	$208.93
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 $74.13 / $154.88 / $281.84	Professional		$74.13	$154.88	$281.84