Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.76 / $2,109.00 / $5,500.00	Facility		$682.76	$2,109.00	$5,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.62 / $464.41 / $802.86	Professional		$329.62	$464.41	$802.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $167.04 / $489.34	Professional		$167.04	$167.04	$489.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.21 / $3,826.03 / $8,345.07	Facility		$2,137.21	$3,826.03	$8,345.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.39 / $591.33 / $1,014.43	Professional		$426.39	$591.33	$1,014.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,378.17 / $1,538.56	Facility		$875.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.41 / $604.07 / $932.68	Professional		$391.41	$604.07	$932.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $491.68 / $739.16 / $1,594.10	Professional		$491.68	$739.16	$1,594.10
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 $443.94 / $457.57 / $686.30	Professional		$443.94	$457.57	$686.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $791.54	Professional		$32.34	$32.34	$791.54
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,763.00 / $4,256.00	Facility		$807.00	$1,763.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $660.83 / $1,130.88	Professional		$490.08	$660.83	$1,130.88