Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,041.74 / $6,165.95	Facility		$346.74	$2,041.74	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $707.95	Professional		$162.18	$269.15	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $3,388.44	Facility		$1,659.59	$2,398.83	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $446.68	Professional		$218.78	$309.03	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $501.19	Professional		$194.98	$295.12	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $794.33	Professional		$218.78	$363.08	$794.33
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 $218.78 / $229.09 / $354.81	Professional		$218.78	$229.09	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $4,786.30	Facility		$1,174.90	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $489.78	Professional		$177.83	$281.84	$489.78