Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,621.81 / $8,317.64	Facility		$162.18	$1,621.81	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $407.38	Professional		$102.33	$162.18	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $4,073.80 / $5,495.41	Facility		$549.54	$4,073.80	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $309.03	Professional		$138.04	$218.78	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $288.40	Professional		$120.23	$186.21	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $446.68	Professional		$141.25	$239.88	$446.68
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 $138.04 / $141.25 / $223.87	Professional		$138.04	$141.25	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $269.15	Professional		$107.15	$151.36	$269.15