Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,949.84 / $7,762.47	Facility		$446.68	$1,949.84	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $776.25	Professional		$257.04	$346.74	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $338.84	Professional		$218.78	$218.78	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $5,888.44	Facility		$1,995.26	$2,398.83	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $630.96	Professional		$331.13	$457.09	$630.96
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 $288.40 / $426.58 / $616.60	Professional		$288.40	$426.58	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,148.15	Professional		$331.13	$524.81	$1,148.15
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 $338.84 / $354.81 / $426.58	Professional		$338.84	$354.81	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,548.13 / $6,165.95	Facility		$1,318.26	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $630.96	Professional		$269.15	$371.54	$630.96