Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,235.94 / $11,481.54	Facility		$288.40	$3,235.94	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $316.23 / $851.14	Professional		$151.36	$316.23	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $426.58	Professional		$144.54	$257.04	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,019.95 / $4,073.80	Facility		$1,412.54	$3,019.95	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $346.74 / $660.69	Professional		$181.97	$346.74	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $537.03	Professional		$162.18	$309.03	$537.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $426.58 / $1,047.13	Professional		$194.98	$426.58	$1,047.13
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 $177.83 / $190.55 / $398.11	Professional		$177.83	$190.55	$398.11
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 / $2,290.87 / $4,897.79	Facility		$891.25	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $512.86	Professional		$165.96	$295.12	$512.86