Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,137.96 / $7,762.47	Facility		$588.84	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $954.99	Professional		$323.59	$489.78	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $478.63	Professional		$371.54	$371.54	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $7,413.10	Facility		$3,548.13	$4,168.69	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $954.99	Professional		$407.38	$562.34	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $870.96	Professional		$363.08	$549.54	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $1,445.44	Professional		$446.68	$724.44	$1,445.44
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 $426.58 / $436.52 / $645.65	Professional		$426.58	$436.52	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $5,128.61	Facility		$1,096.48	$2,398.83	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $870.96	Professional		$338.84	$512.86	$870.96