Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $213.80 / $346.74	Facility		$208.93	$213.80	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $426.58	Professional		$181.97	$213.80	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $239.88	Professional		$177.83	$208.93	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,344.23 / $4,168.69	Facility		$1,096.48	$2,344.23	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $346.74	Professional		$229.09	$316.23	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $446.68	Professional		$208.93	$281.84	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $954.99	Professional		$199.53	$331.13	$954.99
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 $245.47 / $251.19 / $275.42	Professional		$245.47	$251.19	$275.42
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 $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $416.87	Professional		$194.98	$269.15	$416.87