Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.17 / $1,777.00 / $6,759.04	Facility		$310.17	$1,777.00	$6,759.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.70 / $282.55 / $539.08	Professional		$189.70	$282.55	$539.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $112.77 / $317.02	Professional		$112.77	$112.77	$317.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,497.57 / $2,794.93 / $5,738.01	Facility		$1,497.57	$2,794.93	$5,738.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.41 / $426.46 / $494.79	Professional		$232.41	$426.46	$494.79
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 $216.75 / $317.04 / $459.37	Professional		$216.75	$317.04	$459.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $224.65 / $341.73 / $1,095.99	Professional		$224.65	$341.73	$1,095.99
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 $219.02 / $238.60 / $305.29	Professional		$219.02	$238.60	$305.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $345.21	Professional		$32.34	$32.34	$345.21
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 $233.20 / $376.51 / $577.35	Professional		$233.20	$376.51	$577.35