Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,819.70 / $5,888.44	Facility		$512.86	$1,819.70	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $1,584.89	Professional		$338.84	$549.54	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $724.44	Professional		$467.74	$467.74	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $8,128.31	Facility		$2,137.96	$2,570.40	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $1,000.00	Professional		$446.68	$616.60	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $891.25	Professional		$371.54	$562.34	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,698.24	Professional		$436.52	$741.31	$1,698.24
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 $426.58 / $467.74 / $691.83	Professional		$426.58	$467.74	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $891.25	Professional		$363.08	$512.86	$891.25