Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $1,621.81 / $5,623.41	Facility		$0.60	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $524.81 / $4,897.79	Professional		$199.53	$524.81	$4,897.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $275.42	Professional		$186.21	$234.42	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,454.71 / $4,677.35	Facility		$912.01	$2,454.71	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $380.19	Professional		$234.42	$309.03	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $446.68	Professional		$218.78	$302.00	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $1,230.27	Professional		$208.93	$363.08	$1,230.27
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 $245.47 / $275.42 / $302.00	Professional		$245.47	$275.42	$302.00
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $478.63	Professional		$199.53	$281.84	$478.63