Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,089.30 / $8,709.64	Facility		$407.38	$2,089.30	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $912.01	Professional		$218.78	$346.74	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $380.19	Professional		$177.83	$218.78	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $5,888.44	Facility		$2,454.71	$4,570.88	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $562.34	Professional		$281.84	$416.87	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $562.34	Professional		$234.42	$363.08	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $1,288.25	Professional		$281.84	$436.52	$1,288.25
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 $275.42 / $295.12 / $407.38	Professional		$275.42	$295.12	$407.38
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 $234.42 / $316.23 / $562.34	Professional		$234.42	$316.23	$562.34