Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.05 / $1,305.00 / $6,962.10	Facility		$417.05	$1,305.00	$6,962.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.75 / $400.07 / $858.89	Professional		$274.75	$400.07	$858.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $506.18 / $506.18 / $506.18	Professional		$506.18	$506.18	$506.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,942.31 / $3,077.04 / $6,326.26	Facility		$1,942.31	$3,077.04	$6,326.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.85 / $527.37 / $760.99	Professional		$379.85	$527.37	$760.99
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 $269.02 / $471.37 / $775.13	Professional		$269.02	$471.37	$775.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $349.93 / $614.86 / $1,266.65	Professional		$349.93	$614.86	$1,266.65
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 $369.01 / $399.66 / $612.07	Professional		$369.01	$399.66	$612.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $692.11	Professional		$32.34	$32.34	$692.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.51 / $563.45 / $978.15	Professional		$399.51	$563.45	$978.15