Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,862.09 / $5,888.44	Facility		$371.54	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $616.60	Professional		$199.53	$295.12	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $204.17	Professional		$93.33	$93.33	$204.17
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 / $537.03	Professional		$269.15	$363.08	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $588.84	Professional		$229.09	$363.08	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $954.99	Professional		$263.03	$446.68	$954.99
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 $269.15 / $288.40 / $426.58	Professional		$269.15	$288.40	$426.58
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 $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 $218.78 / $331.13 / $588.84	Professional		$218.78	$331.13	$588.84