Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,090.30 / $6,760.83	Facility		$489.78	$3,090.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $407.38 / $1,318.26	Professional		$151.36	$407.38	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $295.12	Professional		$138.04	$177.83	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,398.83 / $3,162.28	Facility		$1,047.13	$2,398.83	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $467.74 / $794.33	Professional		$190.55	$467.74	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $426.58 / $1,047.13	Professional		$177.83	$426.58	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $707.95 / $1,318.26	Professional		$208.93	$707.95	$1,318.26
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 $190.55 / $204.17 / $630.96	Professional		$190.55	$204.17	$630.96
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 $891.25 / $2,238.72 / $4,786.30	Facility		$891.25	$2,238.72	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $524.81 / $1,096.48	Professional		$181.97	$524.81	$1,096.48