Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $561.54 / $2,989.00	Facility		$243.61	$561.54	$2,989.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.74 / $270.37 / $556.85	Professional		$162.74	$270.37	$556.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $245.69 / $383.84	Professional		$139.27	$245.69	$383.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $1,741.77 / $3,799.02	Facility		$549.75	$1,741.77	$3,799.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.33 / $335.48 / $512.50	Professional		$229.33	$335.48	$512.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.96 / $313.25 / $508.27	Professional		$198.96	$313.25	$508.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $226.24 / $414.87 / $717.24	Professional		$226.24	$414.87	$717.24
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 $234.20 / $243.48 / $410.27	Professional		$234.20	$243.48	$410.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $463.92	Professional		$32.34	$32.34	$463.92
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $814.00 / $3,685.00	Facility		$204.00	$814.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.57 / $359.49 / $632.96	Professional		$246.57	$359.49	$632.96