Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,737.80 / $5,888.44	Facility		$245.47	$1,737.80	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $524.81	Professional		$151.36	$251.19	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,096.48 / $3,311.31	Facility		$912.01	$1,096.48	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $446.68	Professional		$213.80	$309.03	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $489.78	Professional		$186.21	$295.12	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $776.25	Professional		$213.80	$371.54	$776.25
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 / $223.87 / $354.81	Professional		$218.78	$223.87	$354.81
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 $177.83 / $281.84 / $489.78	Professional		$177.83	$281.84	$489.78