Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.76 / $1,225.00 / $5,091.00	Facility		$537.76	$1,225.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.70 / $510.01 / $1,008.40	Professional		$369.70	$510.01	$1,008.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $454.09 / $454.09 / $454.09	Professional		$454.09	$454.09	$454.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,144.98 / $4,375.35 / $9,543.20	Facility		$2,144.98	$4,375.35	$9,543.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.41 / $737.08 / $1,058.39	Professional		$484.41	$737.08	$1,058.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.14 / $682.26 / $908.00	Facility		$611.14	$682.26	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.69 / $648.70 / $996.56	Professional		$429.69	$648.70	$996.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $525.40 / $814.84 / $1,937.75	Professional		$525.40	$814.84	$1,937.75
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 $476.96 / $507.82 / $727.83	Professional		$476.96	$507.82	$727.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $823.01	Professional		$32.34	$32.34	$823.01
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.41 / $672.41 / $1,138.90	Professional		$495.41	$672.41	$1,138.90