Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,380.38 / $5,370.32	Facility		$288.40	$1,380.38	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $512.86	Professional		$169.82	$257.04	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,398.83 / $3,715.35	Facility		$1,047.13	$2,398.83	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $467.74	Professional		$213.80	$316.23	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $416.87	Professional		$181.97	$281.84	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $851.14	Professional		$213.80	$346.74	$851.14
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 / $316.23	Professional		$199.53	$213.80	$316.23
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 / $4,786.30	Facility		$891.25	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $446.68	Professional		$177.83	$257.04	$446.68