Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,290.87 / $7,762.47	Facility		$457.09	$2,290.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $741.31	Professional		$229.09	$380.19	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $6,165.95	Facility		$2,630.27	$4,786.30	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $758.58	Professional		$295.12	$446.68	$758.58
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 $263.03 / $426.58 / $691.83	Professional		$263.03	$426.58	$691.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $1,230.27	Professional		$338.84	$588.84	$1,230.27
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 $302.00 / $316.23 / $512.86	Professional		$302.00	$316.23	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
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 $251.19 / $389.05 / $676.08	Professional		$251.19	$389.05	$676.08