Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $426.58 / $676.08	Facility		$416.87	$426.58	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $691.83	Professional		$363.08	$416.87	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,570.88 / $8,317.64	Facility		$2,137.96	$4,570.88	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $691.83	Professional		$457.09	$630.96	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $870.96	Professional		$416.87	$562.34	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $1,584.89	Professional		$380.19	$630.96	$1,584.89
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 $478.63 / $501.19 / $537.03	Professional		$478.63	$501.19	$537.03
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 $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $812.83	Professional		$389.05	$537.03	$812.83