Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.62 / $1,788.00 / $6,544.65	Facility		$523.62	$1,788.00	$6,544.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.97 / $478.67 / $905.89	Professional		$317.97	$478.67	$905.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.38 / $320.88 / $423.16	Professional		$213.38	$320.88	$423.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,587.89 / $4,659.60 / $8,346.50	Facility		$3,587.89	$4,659.60	$8,346.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.22 / $601.09 / $1,026.39	Professional		$430.22	$601.09	$1,026.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.79 / $603.51 / $939.84	Professional		$391.79	$603.51	$939.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $488.01 / $751.28 / $1,654.63	Professional		$488.01	$751.28	$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 $442.68 / $458.85 / $697.62	Professional		$442.68	$458.85	$697.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $788.85	Professional		$32.34	$32.34	$788.85
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 $473.65 / $652.12 / $1,136.79	Professional		$473.65	$652.12	$1,136.79