Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,862.09 / $5,888.44	Facility		$478.63	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $489.78 / $1,148.15	Professional		$173.78	$489.78	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $213.80	Professional		$138.04	$158.49	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,818.38 / $5,370.32	Facility		$1,047.13	$2,818.38	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $478.63 / $977.24	Professional		$199.53	$478.63	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $891.25	Professional		$199.53	$389.05	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $660.69 / $1,949.84	Professional		$208.93	$660.69	$1,949.84
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 $181.97 / $204.17 / $616.60	Professional		$181.97	$204.17	$616.60
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 $151.36 / $831.76 / $2,630.27	Facility		$151.36	$831.76	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $524.81 / $1,288.25	Professional		$190.55	$524.81	$1,288.25