Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.30 / $1,731.00 / $6,373.63	Facility		$285.30	$1,731.00	$6,373.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $356.25 / $757.29	Professional		$168.58	$356.25	$757.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.72 / $160.35 / $543.23	Professional		$110.72	$160.35	$543.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,718.27 / $3,807.53 / $5,513.06	Facility		$1,718.27	$3,807.53	$5,513.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.82 / $332.69 / $568.44	Professional		$204.82	$332.69	$568.44
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 $210.29 / $400.98 / $717.79	Professional		$210.29	$400.98	$717.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.08 / $460.36 / $1,432.34	Professional		$245.08	$460.36	$1,432.34
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 $205.17 / $219.73 / $386.13	Professional		$205.17	$219.73	$386.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $436.62	Professional		$32.34	$32.34	$436.62
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 $444.62 / $650.63 / $1,164.91	Professional		$444.62	$650.63	$1,164.91