Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.91 / $1,272.00 / $4,961.00	Facility		$557.91	$1,272.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.51 / $632.52 / $1,131.65	Professional		$325.51	$632.52	$1,131.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $630.34 / $938.39	Professional		$220.89	$630.34	$938.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $3,171.07 / $6,916.51	Facility		$842.29	$3,171.07	$6,916.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.37 / $706.05 / $1,129.08	Professional		$412.37	$706.05	$1,129.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.43 / $680.12 / $1,140.34	Professional		$364.43	$680.12	$1,140.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $406.81 / $964.42 / $1,896.80	Professional		$406.81	$964.42	$1,896.80
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 $420.93 / $442.08 / $901.89	Professional		$420.93	$442.08	$901.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,040.64	Professional		$32.34	$32.34	$1,040.64
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 $573.91 / $803.49 / $1,428.00	Professional		$573.91	$803.49	$1,428.00