Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,884.03 / $6,918.31	Facility		$537.03	$2,884.03	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $562.34 / $1,479.11	Professional		$162.18	$562.34	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $575.44	Professional		$131.83	$199.53	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,398.83 / $3,311.31	Facility		$1,047.13	$2,398.83	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $616.60 / $1,202.26	Professional		$204.17	$616.60	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $562.34 / $1,548.82	Professional		$194.98	$562.34	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $1,071.52 / $2,630.27	Professional		$229.09	$1,071.52	$2,630.27
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 $208.93 / $223.87 / $954.99	Professional		$208.93	$223.87	$954.99
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 $199.53 / $741.31 / $1,659.59	Professional		$199.53	$741.31	$1,659.59