Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,187.76 / $8,128.31	Facility		$251.19	$2,187.76	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $741.31	Professional		$131.83	$281.84	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $165.96	Professional		$77.62	$120.23	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,019.95 / $3,890.45	Facility		$1,412.54	$3,019.95	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $616.60	Professional		$162.18	$302.00	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $501.19	Professional		$147.91	$275.42	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $407.38 / $1,258.93	Professional		$173.78	$407.38	$1,258.93
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 $158.49 / $165.96 / $380.19	Professional		$158.49	$165.96	$380.19
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 / $6,165.95	Facility		$1,288.25	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $288.40 / $524.81	Professional		$144.54	$288.40	$524.81