Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,862.09 / $5,888.44	Facility		$524.81	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $933.25	Professional		$302.00	$467.74	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $316.23	Professional		$144.54	$144.54	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $7,079.46	Facility		$3,467.37	$4,786.30	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $954.99	Professional		$389.05	$562.34	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $870.96	Professional		$346.74	$537.03	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $1,548.82	Professional		$426.58	$707.95	$1,548.82
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 $398.11 / $407.38 / $645.65	Professional		$398.11	$407.38	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $537.03	Professional		$32.36	$33.11	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $7,585.78	Facility		$1,513.56	$3,630.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $851.14	Professional		$331.13	$501.19	$851.14