Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.61 / $2,524.14 / $7,487.70	Facility		$504.61	$2,524.14	$7,487.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.14 / $530.44 / $1,397.37	Professional		$267.14	$530.44	$1,397.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.53 / $312.31 / $430.41	Professional		$188.53	$312.31	$430.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,918.54 / $3,176.00 / $6,927.26	Facility		$1,918.54	$3,176.00	$6,927.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.12 / $602.00 / $1,128.19	Professional		$357.12	$602.00	$1,128.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.89 / $583.64 / $1,015.78	Professional		$304.89	$583.64	$1,015.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $400.96 / $816.48 / $2,059.60	Professional		$400.96	$816.48	$2,059.60
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 $356.03 / $372.32 / $780.55	Professional		$356.03	$372.32	$780.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $882.62	Professional		$32.34	$32.34	$882.62
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 $512.41 / $714.02 / $1,198.70	Professional		$512.41	$714.02	$1,198.70