Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,290.87 / $8,511.38	Facility		$794.33	$2,290.87	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,995.26	Professional		$478.63	$776.25	$1,995.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $524.81	Professional		$446.68	$467.74	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $11,481.54	Facility		$3,630.78	$4,365.16	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,071.52	Professional		$630.96	$870.96	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,096.48	Professional		$501.19	$741.31	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $2,290.87	Professional		$562.34	$977.24	$2,290.87
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 $616.60 / $660.69 / $741.31	Professional		$616.60	$660.69	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,949.84 / $4,365.16	Facility		$741.31	$1,949.84	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,096.48	Professional		$478.63	$630.96	$1,096.48