Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,862.09 / $6,309.57	Facility		$512.86	$1,862.09	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $1,174.90	Professional		$288.40	$512.86	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $575.44	Professional		$512.86	$512.86	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $7,413.10	Facility		$2,089.30	$2,570.40	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,000.00	Professional		$407.38	$602.56	$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 $288.40 / $537.03 / $870.96	Professional		$288.40	$537.03	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $724.44 / $1,288.25	Professional		$346.74	$724.44	$1,288.25
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 $389.05 / $416.87 / $691.83	Professional		$389.05	$416.87	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $707.95	Professional		$32.36	$32.36	$707.95
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 $251.19 / $446.68 / $870.96	Professional		$251.19	$446.68	$870.96