Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.76 / $1,620.00 / $6,313.44	Facility		$450.76	$1,620.00	$6,313.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.41 / $434.39 / $819.36	Professional		$282.41	$434.39	$819.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.99 / $398.99 / $401.45	Professional		$398.99	$398.99	$401.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,918.54 / $3,244.52 / $7,076.72	Facility		$1,918.54	$3,244.52	$7,076.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.29 / $531.34 / $905.40	Professional		$365.29	$531.34	$905.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.51 / $521.79 / $830.14	Professional		$335.51	$521.79	$830.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $413.64 / $664.12 / $1,654.63	Professional		$413.64	$664.12	$1,654.63
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 $375.62 / $388.91 / $616.67	Professional		$375.62	$388.91	$616.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $697.32	Professional		$32.34	$32.34	$697.32
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 $426.55 / $580.40 / $1,018.05	Professional		$426.55	$580.40	$1,018.05