Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,862.09 / $8,317.64	Facility		$263.03	$1,862.09	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $346.74 / $724.44	Professional		$165.96	$346.74	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $87.10 / $169.82	Professional		$15.14	$87.10	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,332.54 / $12,589.25	Facility		$1,995.26	$9,332.54	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $741.31	Professional		$218.78	$371.54	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $691.83	Professional		$199.53	$407.38	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $602.56 / $1,862.09	Professional		$257.04	$602.56	$1,862.09
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 $208.93 / $229.09 / $512.86	Professional		$208.93	$229.09	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,495.41 / $9,772.37	Facility		$1,778.28	$5,495.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $416.87 / $758.58	Professional		$199.53	$416.87	$758.58