Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,862.09 / $7,762.47	Facility		$263.03	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $660.69	Professional		$138.04	$245.47	$660.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional	50	$1,584.89	$1,584.89	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $323.59	Professional		$208.93	$213.80	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,388.44 / $4,073.80	Facility		$1,548.82	$3,388.44	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $398.11	Professional		$169.82	$263.03	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $457.09	Professional		$158.49	$263.03	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $338.84 / $851.14	Professional		$162.18	$338.84	$851.14
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 $177.83 / $181.97 / $302.00	Professional		$177.83	$181.97	$302.00
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 $1,174.90 / $3,548.13 / $6,309.57	Facility		$1,174.90	$3,548.13	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $426.58	Professional		$151.36	$239.88	$426.58