Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,202.26 / $5,623.41	Facility		$371.54	$1,202.26	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $457.09 / $1,348.96	Professional		$177.83	$457.09	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $575.44	Professional		$338.84	$371.54	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,041.74 / $3,981.07	Facility		$758.58	$2,041.74	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $676.08	Professional		$218.78	$398.11	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $691.83	Professional		$199.53	$398.11	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $562.34 / $1,122.02	Professional		$223.87	$562.34	$1,122.02
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 $223.87 / $234.42 / $549.54	Professional		$223.87	$234.42	$549.54
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 $190.55 / $371.54 / $676.08	Professional		$190.55	$371.54	$676.08