Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,862.09 / $5,888.44	Facility		$199.53	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $251.19	Professional		$104.71	$138.04	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,344.23	Facility		$1,148.15	$1,445.44	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $213.80	Professional		$123.03	$194.98	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $257.04	Professional		$114.82	$165.96	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $478.63	Professional		$109.65	$190.55	$478.63
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 $131.83 / $131.83 / $158.49	Professional		$131.83	$131.83	$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 $812.83 / $2,238.72 / $4,570.88	Facility		$812.83	$2,238.72	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $239.88	Professional		$107.15	$138.04	$239.88