Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,862.09 / $7,762.47	Facility		$524.81	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $977.24	Professional		$309.03	$478.63	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,398.83 / $6,760.83	Facility		$1,174.90	$2,398.83	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $933.25	Professional		$416.87	$575.44	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $912.01	Professional		$354.81	$575.44	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $707.95 / $1,584.89	Professional		$389.05	$707.95	$1,584.89
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 $389.05 / $426.58 / $645.65	Professional		$389.05	$426.58	$645.65
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 $363.08 / $524.81 / $891.25	Professional		$363.08	$524.81	$891.25