Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.70 / $1,272.00 / $5,549.00	Facility		$328.70	$1,272.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.73 / $363.92 / $687.19	Professional		$220.73	$363.92	$687.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $364.29 / $364.29 / $364.29	Professional		$364.29	$364.29	$364.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $2,208.96 / $4,818.03	Facility		$842.29	$2,208.96	$4,818.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.75 / $420.56 / $652.53	Professional		$287.75	$420.56	$652.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.61 / $400.72 / $671.62	Professional		$260.61	$400.72	$671.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $301.39 / $528.22 / $1,081.29	Professional		$301.39	$528.22	$1,081.29
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 $292.80 / $305.23 / $522.80	Professional		$292.80	$305.23	$522.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $603.24	Professional		$32.34	$32.34	$603.24
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.91 / $479.75 / $854.69	Professional		$348.91	$479.75	$854.69