Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,089.30 / $5,888.44	Facility		$354.81	$2,089.30	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $524.81	Professional		$154.88	$245.47	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $147.91	Professional		$91.20	$91.20	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,981.07 / $5,011.87	Facility		$1,659.59	$3,981.07	$5,011.87
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 $177.83 / $295.12 / $467.74	Professional		$177.83	$295.12	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $912.01	Professional		$199.53	$354.81	$912.01
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 $208.93 / $229.09 / $363.08	Professional		$208.93	$229.09	$363.08
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 $1,584.89 / $3,630.78 / $7,079.46	Facility		$1,584.89	$3,630.78	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $478.63	Professional		$173.78	$263.03	$478.63