Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.75 / $2,275.00 / $7,950.00	Facility		$377.75	$2,275.00	$7,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.19 / $502.32 / $1,129.00	Professional		$300.19	$502.32	$1,129.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $197.65 / $356.60	Professional		$171.00	$197.65	$356.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,968.56 / $4,534.77 / $6,905.77	Facility		$2,968.56	$4,534.77	$6,905.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.02 / $603.16 / $1,058.34	Professional		$446.02	$603.16	$1,058.34
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 $408.72 / $614.28 / $952.90	Professional		$408.72	$614.28	$952.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $499.82 / $771.40 / $1,551.27	Professional		$499.82	$771.40	$1,551.27
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 $472.45 / $488.23 / $719.93	Professional		$472.45	$488.23	$719.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $814.07	Professional		$32.34	$32.34	$814.07
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 $456.90 / $634.79 / $1,145.46	Professional		$456.90	$634.79	$1,145.46