Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.30 / $2,232.00 / $5,483.00	Facility		$575.30	$2,232.00	$5,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $379.08 / $1,016.81	Professional		$299.52	$379.08	$1,016.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $451.74 / $482.13 / $508.21	Professional		$451.74	$482.13	$508.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,104.23 / $3,766.97 / $8,216.24	Facility		$2,104.23	$3,766.97	$8,216.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.67 / $583.07 / $710.40	Professional		$421.67	$583.07	$710.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.34 / $508.21 / $729.98	Professional		$355.34	$508.21	$729.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $395.27 / $592.24 / $1,802.86	Professional		$395.27	$592.24	$1,802.86
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 $423.25 / $439.95 / $489.39	Professional		$423.25	$439.95	$489.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $557.87	Professional		$32.34	$32.34	$557.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.36 / $449.66 / $851.12	Professional		$316.36	$449.66	$851.12