Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $1,202.26 / $5,623.41	Facility		$97.72	$1,202.26	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $309.03	Professional		$57.54	$112.20	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $85.11 / $134.90	Professional		$32.36	$85.11	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,258.93 / $1,584.89	Facility		$288.40	$1,258.93	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $177.83	Professional		$72.44	$114.82	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $177.83	Professional		$67.61	$112.20	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $354.81	Professional		$83.18	$144.54	$354.81
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 $69.18 / $75.86 / $128.82	Professional		$69.18	$75.86	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,479.11 / $3,801.89	Facility		$660.69	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $169.82	Professional		$66.07	$97.72	$169.82