Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,090.30 / $8,511.38	Facility		$257.04	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $831.76	Professional		$190.55	$281.84	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $288.40	Professional		$223.87	$223.87	$288.40
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 / $398.11 / $436.52	Professional		$281.84	$398.11	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $489.78	Professional		$223.87	$338.84	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $1,096.48	Professional		$257.04	$389.05	$1,096.48
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 $251.19 / $288.40 / $354.81	Professional		$251.19	$288.40	$354.81
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 $218.78 / $302.00 / $501.19	Professional		$218.78	$302.00	$501.19