Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,862.09 / $5,888.44	Facility		$144.54	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $380.19	Professional		$67.61	$134.90	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $93.33	Professional		$64.57	$72.44	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,000.00 / $1,905.46	Facility		$371.54	$1,000.00	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $147.91	Professional		$93.33	$125.89	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $162.18	Professional		$79.43	$109.65	$162.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $691.83	Professional		$81.28	$128.82	$691.83
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 $87.10 / $95.50 / $104.71	Professional		$87.10	$95.50	$104.71
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $169.82	Professional		$79.43	$102.33	$169.82