Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.46 / $2,381.25 / $7,527.70	Facility		$670.46	$2,381.25	$7,527.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.81 / $670.46 / $1,279.26	Professional		$454.81	$670.46	$1,279.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.15 / $405.71 / $514.23	Professional		$212.15	$405.71	$514.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,445.42 / $10,642.17	Facility		$3,878.08	$5,445.42	$10,642.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.55 / $788.74 / $1,342.67	Professional		$548.55	$788.74	$1,342.67
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 $517.16 / $788.48 / $1,243.60	Professional		$517.16	$788.48	$1,243.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $627.86 / $985.82 / $2,241.92	Professional		$627.86	$985.82	$2,241.92
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 $559.38 / $583.01 / $915.41	Professional		$559.38	$583.01	$915.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,053.72	Professional		$32.34	$32.34	$1,053.72
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 $670.46 / $899.70 / $1,536.17	Professional		$670.46	$899.70	$1,536.17