Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,344.23 / $8,128.31	Facility		$309.03	$2,344.23	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $331.13 / $831.76	Professional		$138.04	$331.13	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $338.84 / $363.08	Professional		$323.59	$338.84	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,398.83 / $3,311.31	Facility		$1,548.82	$2,398.83	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $338.84 / $676.08	Professional		$173.78	$338.84	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $331.13 / $630.96	Professional		$154.88	$331.13	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $489.78 / $1,288.25	Professional		$199.53	$489.78	$1,288.25
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 $173.78 / $181.97 / $457.09	Professional		$173.78	$181.97	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $446.68	Professional		$32.36	$32.36	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $645.65	Professional		$147.91	$323.59	$645.65