Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,511.89 / $8,511.38	Facility		$426.58	$2,511.89	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,584.89 / $5,754.40	Professional		$204.17	$1,584.89	$5,754.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $2,454.71	Professional		$165.96	$199.53	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $5,623.41	Facility		$1,096.48	$2,951.21	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $616.60 / $5,128.61	Professional		$269.15	$616.60	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $549.54 / $5,370.32	Professional		$239.88	$549.54	$5,370.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $3,715.35 / $6,165.95	Professional		$302.00	$3,715.35	$6,165.95
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 / $281.84 / $3,548.13	Professional		$245.47	$281.84	$3,548.13
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 $234.42 / $2,570.40 / $6,606.93	Professional		$234.42	$2,570.40	$6,606.93