Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,862.09 / $5,888.44	Facility		$323.59	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $676.08	Professional		$194.98	$323.59	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,148.15 / $4,168.69	Facility		$954.99	$1,148.15	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $575.44	Professional		$263.03	$389.05	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $588.84	Professional		$229.09	$354.81	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $501.19 / $1,288.25	Professional		$263.03	$501.19	$1,288.25
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 / $281.84 / $467.74	Professional		$257.04	$281.84	$467.74
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 $1,096.48 / $2,187.76 / $4,570.88	Facility		$1,096.48	$2,187.76	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $630.96	Professional		$223.87	$354.81	$630.96