Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.31 / $2,079.00 / $7,669.20	Facility		$367.31	$2,079.00	$7,669.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.18 / $308.82 / $636.35	Professional		$233.18	$308.82	$636.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.60 / $346.60 / $465.60	Professional		$346.60	$346.60	$465.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,315.23 / $3,938.16 / $5,549.23	Facility		$2,315.23	$3,938.16	$5,549.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.52 / $394.77 / $564.02	Professional		$323.52	$394.77	$564.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.33 / $382.50 / $588.38	Professional		$259.33	$382.50	$588.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $311.67 / $481.94 / $990.01	Professional		$311.67	$481.94	$990.01
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 $319.33 / $341.08 / $452.05	Professional		$319.33	$341.08	$452.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $511.16	Professional		$32.34	$32.34	$511.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,951.00 / $6,625.00	Facility		$1,600.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.60 / $415.31 / $732.84	Professional		$280.60	$415.31	$732.84