Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,862.09 / $7,762.47	Facility		$316.23	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $467.74	Professional		$141.25	$234.42	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $3,090.30	Facility		$891.25	$1,071.52	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $416.87	Professional		$199.53	$288.40	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $436.52	Professional		$173.78	$275.42	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $676.08	Professional		$194.98	$346.74	$676.08
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 $204.17 / $208.93 / $338.84	Professional		$204.17	$208.93	$338.84
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 $588.84 / $1,479.11 / $3,801.89	Facility		$588.84	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $457.09	Professional		$162.18	$257.04	$457.09