Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,467.37 / $8,317.64	Facility		$416.87	$3,467.37	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $1,122.02	Professional		$239.88	$416.87	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $323.59	Professional		$199.53	$269.15	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,677.35 / $6,025.60	Facility		$2,454.71	$4,677.35	$6,025.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $575.44	Professional		$309.03	$489.78	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $575.44	Professional		$257.04	$380.19	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $1,412.54	Professional		$302.00	$446.68	$1,412.54
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 $302.00 / $323.59 / $416.87	Professional		$302.00	$323.59	$416.87
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 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $575.44	Professional		$257.04	$338.84	$575.44