Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,570.40 / $7,762.47	Facility		$812.83	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $1,122.02	Professional		$398.11	$501.19	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,288.25 / $10,471.29	Facility		$954.99	$1,288.25	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $977.24	Professional		$588.84	$812.83	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $933.25	Professional		$426.58	$630.96	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $2,238.72	Professional		$512.86	$812.83	$2,238.72
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 $575.44 / $602.56 / $676.08	Professional		$575.44	$602.56	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $758.58 / $2,344.23	Facility		$158.49	$758.58	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $954.99	Professional		$416.87	$549.54	$954.99