Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.27 / $1,153.01 / $4,634.00	Facility		$400.27	$1,153.01	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $364.71 / $653.60	Professional		$225.28	$364.71	$653.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.66 / $251.66 / $251.66	Professional		$251.66	$251.66	$251.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,608.14 / $4,464.57 / $6,290.98	Facility		$2,608.14	$4,464.57	$6,290.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.20 / $470.36 / $801.02	Professional		$313.20	$470.36	$801.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $3,072.73 / $3,430.33	Facility		$463.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.64 / $447.39 / $736.47	Professional		$291.64	$447.39	$736.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $348.83 / $587.89 / $1,066.67	Professional		$348.83	$587.89	$1,066.67
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 $323.74 / $333.46 / $545.90	Professional		$323.74	$333.46	$545.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $617.28	Professional		$32.34	$32.34	$617.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,715.00 / $6,514.00	Facility		$1,600.00	$3,715.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.65 / $508.21 / $908.99	Professional		$369.65	$508.21	$908.99