Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,862.09 / $6,456.54	Facility		$234.42	$1,862.09	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $575.44	Professional		$123.03	$218.78	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $173.78	Professional		$67.61	$67.61	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,398.83 / $3,090.30	Facility		$1,047.13	$2,398.83	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $398.11	Professional		$151.36	$251.19	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $371.54	Professional		$134.90	$218.78	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $537.03	Professional		$151.36	$288.40	$537.03
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 $144.54 / $151.36 / $269.15	Professional		$144.54	$151.36	$269.15
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 / $2,290.87 / $4,786.30	Facility		$891.25	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $363.08	Professional		$128.82	$213.80	$363.08