Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,621.81 / $5,623.41	Facility		$275.42	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $331.13	Professional		$141.25	$181.97	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $4,073.80	Facility		$1,584.89	$3,388.44	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $275.42	Professional		$169.82	$257.04	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $323.59	Professional		$154.88	$218.78	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $645.65	Professional		$144.54	$251.19	$645.65
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 / $208.93	Professional		$177.83	$181.97	$208.93
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 $141.25 / $186.21 / $323.59	Professional		$141.25	$186.21	$323.59