Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,862.09 / $7,762.47	Facility		$426.58	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $891.25	Professional		$245.47	$389.05	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $380.19	Professional		$245.47	$354.81	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $5,623.41	Facility		$2,041.74	$2,454.71	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $741.31	Professional		$309.03	$436.52	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $676.08	Professional		$275.42	$426.58	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $1,047.13	Professional		$346.74	$562.34	$1,047.13
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 $316.23 / $323.59 / $501.19	Professional		$316.23	$323.59	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $691.83	Professional		$263.03	$398.11	$691.83