Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,235.94 / $9,772.37	Facility		$707.95	$3,235.94	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,071.52 / $1,659.59	Professional		$371.54	$1,071.52	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $9,772.37	Professional		$120.23	$199.53	$9,772.37
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $6,456.54 / $12,882.50	Professional		$1,174.90	$6,456.54	$12,882.50