Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.33 / $1,206.98 / $4,634.00	Facility		$450.33	$1,206.98	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.86 / $427.63 / $863.20	Professional		$359.86	$427.63	$863.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $409.04 / $409.04 / $409.04	Professional		$409.04	$409.04	$409.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.73 / $4,455.64 / $9,718.31	Facility		$2,118.73	$4,455.64	$9,718.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.93 / $688.52 / $906.00	Professional		$497.93	$688.52	$906.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,631.14 / $1,820.98	Facility		$463.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.31 / $600.12 / $893.28	Professional		$400.31	$600.12	$893.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.12 / $694.47 / $2,522.25	Professional		$467.12	$694.47	$2,522.25
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 $493.53 / $519.29 / $624.78	Professional		$493.53	$519.29	$624.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $706.48	Professional		$32.34	$32.34	$706.48
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.76 / $550.55 / $934.42	Professional		$402.76	$550.55	$934.42