Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,187.76 / $7,244.36	Facility		$398.11	$2,187.76	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $524.81	Professional		$204.17	$251.19	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,019.95 / $4,677.35	Facility		$1,412.54	$3,019.95	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $446.68	Professional		$269.15	$407.38	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $446.68	Professional		$223.87	$309.03	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $891.25	Professional		$229.09	$363.08	$891.25
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 $257.04 / $269.15 / $295.12	Professional		$257.04	$269.15	$295.12
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 $213.80 / $281.84 / $478.63	Professional		$213.80	$281.84	$478.63