Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,454.71 / $7,244.36	Facility		$309.03	$2,454.71	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $1,071.52	Professional		$199.53	$338.84	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $245.47	Professional		$125.89	$208.93	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,290.87 / $4,786.30	Facility		$1,202.26	$2,290.87	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $489.78	Professional		$234.42	$426.58	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $446.68	Professional		$213.80	$316.23	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $1,202.26	Professional		$213.80	$346.74	$1,202.26
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 $218.78 / $239.88 / $302.00	Professional		$218.78	$239.88	$302.00
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 / $2,290.87 / $4,786.30	Facility		$891.25	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $501.19	Professional		$213.80	$316.23	$501.19