Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.83 / $2,050.96 / $7,068.96	Facility		$494.83	$2,050.96	$7,068.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.74 / $524.76 / $1,288.91	Professional		$271.74	$524.76	$1,288.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.45 / $326.45 / $326.45	Professional		$326.45	$326.45	$326.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,168.19 / $4,429.37 / $7,731.03	Facility		$2,168.19	$4,429.37	$7,731.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.35 / $824.67 / $1,681.65	Professional		$312.35	$824.67	$1,681.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.24 / $623.10 / $1,351.03	Professional		$299.24	$623.10	$1,351.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,077.53 / $2,102.26	Professional		$345.40	$1,077.53	$2,102.26
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 $300.77 / $323.93 / $1,037.61	Professional		$300.77	$323.93	$1,037.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,173.31	Professional		$32.34	$32.34	$1,173.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $809.43 / $1,136.89 / $2,004.07	Professional		$809.43	$1,136.89	$2,004.07