Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,621.81 / $5,623.41	Facility		$537.03	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $758.58	Professional		$251.19	$371.54	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,786.30 / $6,165.95	Facility		$2,754.23	$4,786.30	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $724.44	Professional		$309.03	$524.81	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $707.95	Professional		$269.15	$426.58	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $1,230.27	Professional		$316.23	$537.03	$1,230.27
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 $316.23 / $323.59 / $501.19	Professional		$316.23	$323.59	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $7,585.78	Facility		$1,513.56	$3,630.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $691.83	Professional		$275.42	$407.38	$691.83