Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.58 / $1,207.00 / $6,664.00	Facility		$312.58	$1,207.00	$6,664.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.47 / $340.02 / $628.28	Professional		$169.47	$340.02	$628.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $77.02 / $77.02	Professional		$77.02	$77.02	$77.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,850.95 / $4,101.55 / $12,138.23	Facility		$1,850.95	$4,101.55	$12,138.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.18 / $394.75 / $739.79	Professional		$217.18	$394.75	$739.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $9,390.59 / $10,483.45	Facility		$709.00	$9,390.59	$10,483.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.22 / $432.09 / $697.35	Professional		$211.22	$432.09	$697.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $261.75 / $563.87 / $1,658.32	Professional		$261.75	$563.87	$1,658.32
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 $210.38 / $228.81 / $509.30	Professional		$210.38	$228.81	$509.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $575.90	Professional		$32.34	$32.34	$575.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,803.00 / $8,981.00	Facility		$1,787.00	$4,803.00	$8,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.68 / $561.26 / $882.93	Professional		$381.68	$561.26	$882.93