Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,089.30 / $5,888.44	Facility		$501.19	$2,089.30	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $562.34	Professional		$239.88	$302.00	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
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 $331.13 / $489.78 / $549.54	Professional		$331.13	$489.78	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $549.54	Professional		$239.88	$380.19	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $1,202.26	Professional		$281.84	$436.52	$1,202.26
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 $316.23 / $331.13 / $363.08	Professional		$316.23	$331.13	$363.08
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 / $2,818.38 / $5,128.61	Facility		$891.25	$2,818.38	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $575.44	Professional		$263.03	$354.81	$575.44