Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,737.80 / $5,370.32	Facility		$263.03	$1,737.80	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $524.81 / $1,479.11	Professional		$123.03	$524.81	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $125.89	Professional		$102.33	$107.15	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,454.71	Facility		$870.96	$1,071.52	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $457.09 / $1,000.00	Professional		$158.49	$457.09	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $389.05 / $1,174.90	Professional		$154.88	$389.05	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $812.83 / $1,318.26	Professional		$165.96	$812.83	$1,318.26
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 $158.49 / $169.82 / $812.83	Professional		$158.49	$169.82	$812.83
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 $588.84 / $1,479.11 / $3,801.89	Facility		$588.84	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $478.63 / $1,174.90	Professional		$144.54	$478.63	$1,174.90