Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,137.96 / $7,762.47	Facility		$630.96	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,513.56	Professional		$426.58	$660.69	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $416.87 / $467.74	Professional		$56.23	$416.87	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $9,332.54	Facility		$4,073.80	$4,786.30	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,174.90	Professional		$512.86	$724.44	$1,174.90
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 $467.74 / $724.44 / $1,071.52	Professional		$467.74	$724.44	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $2,187.76	Professional		$562.34	$933.25	$2,187.76
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 $537.03 / $549.54 / $794.33	Professional		$537.03	$549.54	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
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 $446.68 / $660.69 / $1,071.52	Professional		$446.68	$660.69	$1,071.52