Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.13 / $1,078.00 / $5,091.00	Facility		$364.13	$1,078.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.37 / $348.35 / $654.50	Professional		$249.37	$348.35	$654.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.08 / $229.08 / $229.08	Professional		$229.08	$229.08	$229.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,504.40 / $3,938.16 / $5,826.00	Facility		$2,504.40	$3,938.16	$5,826.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.40 / $477.65 / $689.62	Professional		$349.40	$477.65	$689.62
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 $292.27 / $447.75 / $712.14	Professional		$292.27	$447.75	$712.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $575.67 / $1,195.88	Professional		$345.40	$575.67	$1,195.88
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 $340.18 / $367.81 / $554.36	Professional		$340.18	$367.81	$554.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $626.85	Professional		$32.34	$32.34	$626.85
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 $364.14 / $508.31 / $886.10	Professional		$364.14	$508.31	$886.10