Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,737.80 / $5,623.41	Facility		$288.40	$1,737.80	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $741.31	Professional		$194.98	$302.00	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $288.40	Professional		$169.82	$208.93	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $4,168.69	Facility		$2,041.74	$2,398.83	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $524.81	Professional		$269.15	$363.08	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $562.34	Professional		$239.88	$363.08	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $1,318.26	Professional		$257.04	$436.52	$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 $263.03 / $288.40 / $426.58	Professional		$263.03	$288.40	$426.58
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 $741.31 / $1,513.56 / $4,168.69	Facility		$741.31	$1,513.56	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $602.56	Professional		$229.09	$371.54	$602.56