Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,951.21 / $7,762.47	Facility		$199.53	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $131.83 / $302.00	Professional		$61.66	$131.83	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,168.69 / $5,623.41	Facility		$1,348.96	$4,168.69	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $218.78	Professional		$141.25	$204.17	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $263.03	Professional		$123.03	$173.78	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $549.54	Professional		$125.89	$194.98	$549.54
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 $141.25 / $144.54 / $162.18	Professional		$141.25	$144.54	$162.18
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 $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $251.19	Professional		$117.49	$154.88	$251.19