Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.56 / $689.35 / $2,072.42	Facility		$393.56	$689.35	$2,072.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.75 / $1,102.28 / $2,072.42	Professional		$302.75	$1,102.28	$2,072.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.23 / $184.23 / $194.62	Professional		$184.23	$184.23	$194.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,587.03 / $3,394.72 / $6,797.92	Facility		$1,587.03	$3,394.72	$6,797.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.29 / $814.20 / $1,670.78	Professional		$248.29	$814.20	$1,670.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.25 / $396.70 / $1,722.98	Professional		$296.25	$396.70	$1,722.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $272.89 / $1,063.67 / $2,386.82	Professional		$272.89	$1,063.67	$2,386.82
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 $219.05 / $253.41 / $1,030.91	Professional		$219.05	$253.41	$1,030.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,165.72	Professional		$32.34	$32.34	$1,165.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.52 / $1,689.75 / $2,712.26	Professional		$1,020.52	$1,689.75	$2,712.26