Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,621.81 / $5,623.41	Facility		$269.15	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $288.40 / $524.81	Professional		$144.54	$288.40	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $323.59	Professional		$173.78	$229.09	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,511.89 / $4,786.30	Facility		$933.25	$2,511.89	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $436.52	Professional		$218.78	$309.03	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $467.74	Professional		$186.21	$302.00	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $676.08	Professional		$199.53	$380.19	$676.08
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 / $234.42 / $371.54	Professional		$199.53	$234.42	$371.54
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 $316.23 / $2,884.03 / $7,413.10	Facility		$316.23	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $389.05	Professional		$144.54	$213.80	$389.05