Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,737.80 / $5,888.44	Facility		$602.56	$1,737.80	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,202.26	Professional		$331.13	$524.81	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $478.63	Professional		$199.53	$346.74	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $7,762.47	Facility		$3,801.89	$4,786.30	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $1,000.00	Professional		$426.58	$588.84	$1,000.00
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 $371.54 / $575.44 / $912.01	Professional		$371.54	$575.44	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $1,621.81	Professional		$467.74	$776.25	$1,621.81
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 $436.52 / $457.09 / $691.83	Professional		$436.52	$457.09	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
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 $363.08 / $537.03 / $933.25	Professional		$363.08	$537.03	$933.25