Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,288.25 / $5,623.41	Facility		$138.04	$1,288.25	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $173.78 / $416.87	Professional		$77.62	$173.78	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $66.07 / $100.00	Professional		$64.57	$66.07	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,047.13 / $1,995.26	Facility		$389.05	$1,047.13	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $323.59	Professional		$100.00	$194.98	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $354.81	Professional		$93.33	$177.83	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $316.23 / $776.25	Professional		$120.23	$316.23	$776.25
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 $97.72 / $104.71 / $239.88	Professional		$97.72	$104.71	$239.88
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 $151.36 / $831.76 / $2,630.27	Facility		$151.36	$831.76	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $194.98 / $371.54	Professional		$91.20	$194.98	$371.54