Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,258.93 / $5,623.41	Facility		$316.23	$1,258.93	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $794.33	Professional		$263.03	$354.81	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $6,456.54	Facility		$316.23	$426.58	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $645.65	Professional		$354.81	$489.78	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $616.60	Professional		$275.42	$407.38	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $1,148.15	Professional		$316.23	$501.19	$1,148.15
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 $354.81 / $371.54 / $436.52	Professional		$354.81	$371.54	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $724.44 / $2,187.76	Facility		$158.49	$724.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $602.56	Professional		$263.03	$346.74	$602.56