Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,019.95 / $7,762.47	Facility		$575.44	$3,019.95	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $1,380.38	Professional		$316.23	$549.54	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $363.08 / $512.86	Professional		$173.78	$363.08	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $7,585.78	Facility		$2,089.30	$2,511.89	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $707.95	Professional		$416.87	$588.84	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $724.44	Professional		$338.84	$489.78	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $1,862.09	Professional		$371.54	$602.56	$1,862.09
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 / $436.52 / $489.78	Professional		$426.58	$436.52	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,630.78 / $6,165.95	Facility		$1,318.26	$3,630.78	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $707.95	Professional		$309.03	$426.58	$707.95