Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.41 / $1,411.00 / $7,369.71	Facility		$292.41	$1,411.00	$7,369.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.40 / $323.10 / $694.28	Professional		$177.40	$323.10	$694.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $162.16 / $231.88	Professional		$154.05	$162.16	$231.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,783.25 / $3,878.08 / $5,513.06	Facility		$1,783.25	$3,878.08	$5,513.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.94 / $339.30 / $579.89	Professional		$209.94	$339.30	$579.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.54 / $408.94 / $732.43	Professional		$215.54	$408.94	$732.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.27 / $469.53 / $1,444.52	Professional		$251.27	$469.53	$1,444.52
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 $210.31 / $225.28 / $393.80	Professional		$210.31	$225.28	$393.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $445.29	Professional		$32.34	$32.34	$445.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.12 / $681.07 / $1,197.99	Professional		$465.12	$681.07	$1,197.99