Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,621.81 / $5,623.41	Facility		$346.74	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $691.83	Professional		$186.21	$331.13	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $204.17	Professional		$125.89	$181.97	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,148.15 / $3,890.45	Facility		$954.99	$1,148.15	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $630.96	Professional		$257.04	$389.05	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $645.65	Professional		$218.78	$371.54	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $501.19 / $1,047.13	Professional		$251.19	$501.19	$1,047.13
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 $257.04 / $269.15 / $512.86	Professional		$257.04	$269.15	$512.86
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 $158.49 / $758.58 / $2,344.23	Facility		$158.49	$758.58	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $645.65	Professional		$208.93	$346.74	$645.65