Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,235.94 / $8,511.38	Facility		$676.08	$3,235.94	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $1,023.29	Professional		$338.84	$512.86	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $7,762.47	Facility		$2,137.96	$2,570.40	$7,762.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $1,023.29	Professional		$426.58	$588.84	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $933.25	Professional		$380.19	$588.84	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $1,737.80	Professional		$467.74	$776.25	$1,737.80
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 $446.68 / $457.09 / $691.83	Professional		$446.68	$457.09	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $4,168.69	Facility		$741.31	$1,513.56	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $933.25	Professional		$371.54	$549.54	$933.25