Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.31 / $1,620.00 / $6,534.73	Facility		$424.31	$1,620.00	$6,534.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.95 / $397.70 / $721.64	Professional		$266.95	$397.70	$721.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.35 / $260.35 / $383.68	Professional		$260.35	$260.35	$383.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,893.10 / $4,464.57 / $6,730.22	Facility		$2,893.10	$4,464.57	$6,730.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.07 / $486.91 / $833.44	Professional		$346.07	$486.91	$833.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.27 / $484.99 / $764.58	Professional		$316.27	$484.99	$764.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $397.56 / $618.32 / $1,339.31	Professional		$397.56	$618.32	$1,339.31
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 $359.42 / $370.42 / $565.11	Professional		$359.42	$370.42	$565.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $639.01	Professional		$32.34	$32.34	$639.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.51 / $530.61 / $923.13	Professional		$392.51	$530.61	$923.13