Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.41 / $1,452.30 / $5,483.00	Facility		$471.41	$1,452.30	$5,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.99 / $441.93 / $819.15	Professional		$278.99	$441.93	$819.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.37 / $166.37 / $166.37	Professional		$166.37	$166.37	$166.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,245.76 / $4,566.03 / $7,550.62	Facility		$3,245.76	$4,566.03	$7,550.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.37 / $565.28 / $962.01	Professional		$387.37	$565.28	$962.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $553.33 / $880.37	Professional		$359.63	$553.33	$880.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $434.28 / $706.54 / $1,546.70	Professional		$434.28	$706.54	$1,546.70
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 $396.77 / $411.68 / $656.07	Professional		$396.77	$411.68	$656.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $741.86	Professional		$32.34	$32.34	$741.86
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 $435.96 / $605.86 / $1,069.39	Professional		$435.96	$605.86	$1,069.39