Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,737.80 / $7,762.47	Facility		$131.83	$1,737.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $263.03	Professional		$64.57	$131.83	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $831.76 / $1,621.81	Facility		$309.03	$831.76	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $223.87	Professional		$72.44	$125.89	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $234.42	Professional		$74.13	$134.90	$234.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $204.17 / $1,548.82	Professional		$89.13	$204.17	$1,548.82
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 $70.79 / $77.62 / $165.96	Professional		$70.79	$77.62	$165.96
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 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $245.47	Professional		$74.13	$138.04	$245.47