Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,380.38 / $5,623.41	Facility		$138.04	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $199.53 / $512.86	Professional		$75.86	$199.53	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $177.83	Professional		$123.03	$147.91	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,318.26 / $1,737.80	Facility		$354.81	$1,318.26	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $275.42	Professional		$91.20	$154.88	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $263.03	Professional		$85.11	$154.88	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $478.63	Professional		$102.33	$213.80	$478.63
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 $89.13 / $95.50 / $204.17	Professional		$89.13	$95.50	$204.17
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 / $1,445.44 / $3,801.89	Facility		$660.69	$1,445.44	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $257.04	Professional		$81.28	$144.54	$257.04