Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.82 / $1,305.00 / $4,961.00	Facility		$466.82	$1,305.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.50 / $345.57 / $607.23	Professional		$228.50	$345.57	$607.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $356.66 / $356.66 / $356.66	Professional		$356.66	$356.66	$356.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.95 / $2,685.96 / $5,599.57	Facility		$481.95	$2,685.96	$5,599.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $430.71 / $738.30	Professional		$292.45	$430.71	$738.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.27 / $503.79 / $908.00	Facility		$451.27	$503.79	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.14 / $431.04 / $684.46	Professional		$274.14	$431.04	$684.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $343.74 / $545.15 / $951.36	Professional		$343.74	$545.15	$951.36
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 $307.45 / $314.18 / $499.89	Professional		$307.45	$314.18	$499.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $565.26	Professional		$32.34	$32.34	$565.26
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 $354.68 / $485.00 / $826.87	Professional		$354.68	$485.00	$826.87