Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,137.96 / $5,623.41	Facility		$316.23	$2,137.96	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $1,479.11 / $2,951.21	Professional		$128.82	$1,479.11	$2,951.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional	50	$1,862.09	$1,862.09	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,380.38	Professional		$977.24	$1,096.48	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,951.21 / $3,801.89	Facility		$1,584.89	$2,951.21	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $616.60 / $2,884.03	Professional		$151.36	$616.60	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $309.03 / $2,187.76	Professional		$144.54	$309.03	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,698.24 / $3,715.35	Professional		$165.96	$1,698.24	$3,715.35
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 $134.90 / $154.88 / $1,584.89	Professional		$134.90	$154.88	$1,584.89
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 / $4,897.79	Facility		$891.25	$2,238.72	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $1,288.25 / $2,818.38	Professional		$138.04	$1,288.25	$2,818.38