Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.39 / $987.07 / $5,389.00	Facility		$431.39	$987.07	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.30 / $465.92 / $795.11	Professional		$383.30	$465.92	$795.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $370.15 / $370.15 / $370.15	Professional		$370.15	$370.15	$370.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $4,559.89 / $9,945.73	Facility		$330.07	$4,559.89	$9,945.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.03 / $703.86 / $866.74	Professional		$509.03	$703.86	$866.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $250.87 / $280.07	Facility		$250.87	$250.87	$280.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.97 / $620.64 / $1,008.89	Professional		$441.97	$620.64	$1,008.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $488.47 / $701.93 / $1,946.12	Professional		$488.47	$701.93	$1,946.12
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 $492.75 / $530.63 / $597.66	Professional		$492.75	$530.63	$597.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $675.82	Professional		$32.34	$32.34	$675.82
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.80 / $625.07 / $1,074.20	Professional		$436.80	$625.07	$1,074.20