Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,862.09 / $7,762.47	Facility		$537.03	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $851.14	Professional		$275.42	$426.58	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $363.08	Professional		$354.81	$354.81	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $6,760.83	Facility		$3,235.94	$4,786.30	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $812.83	Professional		$354.81	$602.56	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $741.31	Professional		$302.00	$467.74	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $1,548.82	Professional		$346.74	$602.56	$1,548.82
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 $363.08 / $380.19 / $562.34	Professional		$363.08	$380.19	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,691.53 / $5,128.61	Facility		$1,096.48	$2,691.53	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $724.44	Professional		$281.84	$426.58	$724.44