Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.58 / $1,325.00 / $5,283.00	Facility		$431.58	$1,325.00	$5,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $409.33 / $760.90	Professional		$255.08	$409.33	$760.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.16 / $224.16 / $448.31	Professional		$224.16	$224.16	$448.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,875.91 / $4,464.57 / $6,690.24	Facility		$2,875.91	$4,464.57	$6,690.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.56 / $528.59 / $899.08	Professional		$349.56	$528.59	$899.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.88 / $504.08 / $825.84	Professional		$323.88	$504.08	$825.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $393.30 / $660.67 / $1,393.96	Professional		$393.30	$660.67	$1,393.96
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 $359.05 / $371.57 / $613.48	Professional		$359.05	$371.57	$613.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $693.71	Professional		$32.34	$32.34	$693.71
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 $415.92 / $566.73 / $1,005.19	Professional		$415.92	$566.73	$1,005.19