Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,862.09 / $6,165.95	Facility		$457.09	$1,862.09	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $1,096.48	Professional		$269.15	$467.74	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $549.54	Professional		$204.17	$234.42	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,288.25 / $6,165.95	Facility		$954.99	$1,288.25	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $831.76	Professional		$389.05	$562.34	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $933.25	Professional		$363.08	$562.34	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $1,905.46	Professional		$363.08	$676.08	$1,905.46
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 $398.11 / $416.87 / $660.69	Professional		$398.11	$416.87	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$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 $354.81 / $549.54 / $933.25	Professional		$354.81	$549.54	$933.25