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 / $5,623.41	Facility		$524.81	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $1,000.00	Professional		$323.59	$524.81	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
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 $416.87 / $588.84 / $1,000.00	Professional		$416.87	$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 / $588.84 / $933.25	Professional		$371.54	$588.84	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $2,511.89	Professional		$446.68	$794.33	$2,511.89
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 $416.87 / $436.52 / $691.83	Professional		$416.87	$436.52	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
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 / $562.34 / $954.99	Professional		$363.08	$562.34	$954.99