Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,148.15 / $5,370.32	Facility		$204.17	$1,148.15	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $512.86	Professional		$97.72	$165.96	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $309.03	Professional		$112.20	$147.91	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,344.23	Facility		$870.96	$1,047.13	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $281.84	Professional		$138.04	$190.55	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $288.40	Professional		$117.49	$177.83	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $616.60	Professional		$147.91	$257.04	$616.60
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 $123.03 / $138.04 / $213.80	Professional		$123.03	$138.04	$213.80
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 / $1,479.11 / $3,715.35	Facility		$575.44	$1,479.11	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $269.15	Professional		$109.65	$165.96	$269.15