Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,862.09 / $7,762.47	Facility		$186.21	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $512.86	Professional		$114.82	$199.53	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $186.21	Professional		$79.43	$141.25	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $3,090.30	Facility		$1,412.54	$2,398.83	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $346.74	Professional		$186.21	$239.88	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $380.19	Professional		$158.49	$234.42	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $295.12 / $630.96	Professional		$177.83	$295.12	$630.96
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 $190.55 / $199.53 / $275.42	Professional		$190.55	$199.53	$275.42
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 $147.91 / $213.80 / $380.19	Professional		$147.91	$213.80	$380.19