Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,621.81 / $5,623.41	Facility		$131.83	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $251.19	Professional		$91.20	$134.90	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $117.49	Professional		$83.18	$100.00	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,951.21 / $3,981.07	Facility		$933.25	$2,951.21	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $208.93	Professional		$102.33	$158.49	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $251.19	Professional		$100.00	$158.49	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $562.34	Professional		$100.00	$186.21	$562.34
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 $107.15 / $109.65 / $158.49	Professional		$107.15	$109.65	$158.49
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 / $1,023.29 / $3,388.44	Facility		$151.36	$1,023.29	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $234.42	Professional		$102.33	$151.36	$234.42