Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.67 / $1,207.00 / $4,634.00	Facility		$340.67	$1,207.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $372.36 / $789.82	Professional		$170.12	$372.36	$789.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.29 / $184.29 / $220.34	Professional		$184.29	$184.29	$220.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,892.35 / $2,449.00 / $4,402.17	Facility		$1,892.35	$2,449.00	$4,402.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.37 / $454.19 / $896.18	Professional		$224.37	$454.19	$896.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,378.17 / $1,538.56	Facility		$463.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.14 / $389.02 / $796.50	Professional		$200.14	$389.02	$796.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $261.45 / $643.88 / $1,425.56	Professional		$261.45	$643.88	$1,425.56
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 $221.57 / $234.40 / $620.04	Professional		$221.57	$234.40	$620.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $715.43	Professional		$32.34	$32.34	$715.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.52 / $488.90 / $857.30	Professional		$292.52	$488.90	$857.30