Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,235.94 / $10,471.29	Facility		$407.38	$3,235.94	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $1,047.13	Professional		$229.09	$346.74	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $281.84	Professional		$123.03	$229.09	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $6,760.83	Facility		$2,454.71	$5,128.61	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $562.34	Professional		$295.12	$478.63	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $537.03	Professional		$251.19	$346.74	$537.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $1,445.44	Professional		$263.03	$407.38	$1,445.44
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 $288.40 / $309.03 / $331.13	Professional		$288.40	$309.03	$331.13
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 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $537.03	Professional		$251.19	$331.13	$537.03