Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,862.09 / $7,762.47	Facility		$316.23	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $281.84 / $602.56	Professional		$117.49	$281.84	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $549.54 / $2,454.71	Facility		$407.38	$549.54	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $467.74	Professional		$131.83	$281.84	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $489.78	Professional		$125.89	$269.15	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $371.54 / $891.25	Professional		$125.89	$371.54	$891.25
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 $141.25 / $141.25 / $363.08	Professional		$141.25	$141.25	$363.08
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 $154.88 / $758.58 / $2,187.76	Facility		$154.88	$758.58	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $251.19 / $467.74	Professional		$117.49	$251.19	$467.74