Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $1,225.00 / $6,417.50	Facility		$0.66	$1,225.00	$6,417.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.21 / $277.00 / $501.19	Professional		$177.21	$277.00	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $135.96 / $135.96	Professional		$135.96	$135.96	$135.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,248.52 / $2,486.03 / $4,783.78	Facility		$1,248.52	$2,486.03	$4,783.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.43 / $364.75 / $495.46	Professional		$235.43	$364.75	$495.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.83 / $323.16 / $496.83	Professional		$218.83	$323.16	$496.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $249.44 / $391.77 / $858.30	Professional		$249.44	$391.77	$858.30
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 $239.19 / $245.05 / $369.07	Professional		$239.19	$245.05	$369.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $425.85	Professional		$32.34	$32.34	$425.85
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.57 / $374.57 / $626.92	Professional		$278.57	$374.57	$626.92