Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,187.76 / $8,128.31	Facility		$223.87	$2,187.76	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $478.63	Professional		$147.91	$223.87	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $213.80	Professional		$102.33	$165.96	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $3,388.44	Facility		$1,621.81	$2,398.83	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $407.38	Professional		$218.78	$281.84	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $446.68	Professional		$181.97	$269.15	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $691.83	Professional		$204.17	$346.74	$691.83
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 / $323.59	Professional		$218.78	$229.09	$323.59
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 $169.82 / $245.47 / $436.52	Professional		$169.82	$245.47	$436.52