Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,090.30 / $5,888.44	Facility		$812.83	$3,090.30	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $1,202.26	Professional		$371.54	$537.03	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $549.54	Professional		$354.81	$389.05	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $9,332.54	Facility		$4,073.80	$4,786.30	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $870.96	Professional		$501.19	$691.83	$870.96
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 $416.87 / $616.60 / $891.25	Professional		$416.87	$616.60	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $741.31 / $1,949.84	Professional		$446.68	$741.31	$1,949.84
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 $501.19 / $537.03 / $588.84	Professional		$501.19	$537.03	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
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 $398.11 / $537.03 / $912.01	Professional		$398.11	$537.03	$912.01