Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.28 / $1,085.00 / $4,200.00	Facility		$520.28	$1,085.00	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.79 / $473.89 / $895.50	Professional		$325.79	$473.89	$895.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.58 / $330.23 / $488.76	Professional		$315.58	$330.23	$488.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,547.48 / $4,633.68 / $8,252.50	Facility		$3,547.48	$4,633.68	$8,252.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.48 / $591.53 / $1,009.03	Professional		$425.48	$591.53	$1,009.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.86 / $592.58 / $927.73	Professional		$386.86	$592.58	$927.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $480.69 / $739.34 / $1,519.42	Professional		$480.69	$739.34	$1,519.42
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 $436.50 / $453.09 / $686.53	Professional		$436.50	$453.09	$686.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $776.31	Professional		$32.34	$32.34	$776.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.24 / $635.88 / $1,129.48	Professional		$469.24	$635.88	$1,129.48