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 / $5,888.44	Facility		$524.81	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $1,202.26	Professional		$295.12	$501.19	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $831.76	Professional		$323.59	$398.11	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $7,079.46	Facility		$2,089.30	$2,454.71	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $977.24	Professional		$389.05	$588.84	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $870.96	Professional		$338.84	$537.03	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $724.44 / $1,584.89	Professional		$416.87	$724.44	$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 $371.54 / $398.11 / $676.08	Professional		$371.54	$398.11	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,548.13 / $6,165.95	Facility		$1,318.26	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $851.14	Professional		$323.59	$489.78	$851.14