Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,041.74 / $8,317.64	Facility		$323.59	$2,041.74	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $346.74 / $933.25	Professional		$165.96	$346.74	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $645.65	Professional		$138.04	$213.80	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,019.95 / $4,265.80	Facility		$1,412.54	$3,019.95	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $812.83	Professional		$204.17	$389.05	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $645.65	Professional		$181.97	$363.08	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $524.81 / $1,737.80	Professional		$218.78	$524.81	$1,737.80
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 $199.53 / $213.80 / $489.78	Professional		$199.53	$213.80	$489.78
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 / $2,238.72 / $4,897.79	Facility		$891.25	$2,238.72	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $630.96	Professional		$190.55	$354.81	$630.96