Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,290.87 / $7,762.47	Facility		$676.08	$2,290.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,202.26	Professional		$389.05	$588.84	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $380.19	Professional		$239.88	$239.88	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $9,120.11	Facility		$4,073.80	$4,786.30	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,148.15	Professional		$501.19	$691.83	$1,148.15
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 $436.52 / $660.69 / $1,047.13	Professional		$436.52	$660.69	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,621.81	Professional		$549.54	$851.14	$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 $524.81 / $537.03 / $776.25	Professional		$524.81	$537.03	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
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 $416.87 / $616.60 / $1,047.13	Professional		$416.87	$616.60	$1,047.13