Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,258.93 / $4,677.35	Facility		$512.86	$1,258.93	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,202.26	Professional		$407.38	$549.54	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $602.56 / $645.65	Professional		$269.15	$602.56	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $10,000.00	Facility		$2,089.30	$2,511.89	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,023.29	Professional		$549.54	$758.58	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $977.24	Professional		$446.68	$645.65	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $2,089.30	Professional		$524.81	$812.83	$2,089.30
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 $537.03 / $575.44 / $707.95	Professional		$537.03	$575.44	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,479.11 / $4,168.69	Facility		$741.31	$1,479.11	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $954.99	Professional		$416.87	$562.34	$954.99