Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.49 / $2,118.00 / $5,393.00	Facility		$554.49	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.81 / $555.99 / $1,191.97	Professional		$293.81	$555.99	$1,191.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.26 / $407.62 / $576.27	Professional		$323.26	$407.62	$576.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,965.40 / $3,452.60 / $7,530.55	Facility		$1,965.40	$3,452.60	$7,530.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.44 / $651.69 / $1,181.77	Professional		$386.44	$651.69	$1,181.77
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 $331.90 / $614.11 / $1,064.02	Professional		$331.90	$614.11	$1,064.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $434.63 / $861.34 / $1,847.07	Professional		$434.63	$861.34	$1,847.07
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 $385.06 / $403.59 / $816.74	Professional		$385.06	$403.59	$816.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $923.54	Professional		$32.34	$32.34	$923.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,435.00 / $4,780.00	Facility		$1,183.00	$2,435.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.85 / $731.28 / $1,237.79	Professional		$531.85	$731.28	$1,237.79