Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.36 / $1,207.00 / $4,961.00	Facility		$442.36	$1,207.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.68 / $421.58 / $760.63	Professional		$264.68	$421.58	$760.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $550.13 / $550.13 / $550.13	Professional		$550.13	$550.13	$550.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,669.34 / $2,989.47 / $6,396.19	Facility		$1,669.34	$2,989.47	$6,396.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.84 / $548.35 / $774.51	Professional		$383.84	$548.35	$774.51
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 $329.47 / $548.14 / $848.79	Professional		$329.47	$548.14	$848.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $374.70 / $671.97 / $1,394.47	Professional		$374.70	$671.97	$1,394.47
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 $367.81 / $397.97 / $629.59	Professional		$367.81	$397.97	$629.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $726.45	Professional		$32.34	$32.34	$726.45
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.77 / $640.17 / $1,028.63	Professional		$435.77	$640.17	$1,028.63