Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,137.96 / $7,762.47	Facility		$549.54	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $1,047.13	Professional		$302.00	$478.63	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $616.60	Professional		$380.19	$380.19	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $7,079.46	Facility		$3,548.13	$4,786.30	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $954.99	Professional		$398.11	$549.54	$954.99
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 $354.81 / $549.54 / $870.96	Professional		$354.81	$549.54	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $1,412.54	Professional		$426.58	$724.44	$1,412.54
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 $407.38 / $416.87 / $645.65	Professional		$407.38	$416.87	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
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 $338.84 / $501.19 / $870.96	Professional		$338.84	$501.19	$870.96