Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.26 / $1,065.73 / $4,200.00	Facility		$297.26	$1,065.73	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $342.08 / $988.04	Professional		$139.09	$342.08	$988.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $187.38 / $617.25	Professional		$154.00	$187.38	$617.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.00 / $2,607.13 / $5,030.83	Facility		$1,313.00	$2,607.13	$5,030.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $704.59 / $1,440.59	Professional		$204.91	$704.59	$1,440.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.13 / $493.37 / $1,161.46	Professional		$181.13	$493.37	$1,161.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $240.92 / $957.81 / $1,966.59	Professional		$240.92	$957.81	$1,966.59
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 $191.18 / $212.13 / $888.89	Professional		$191.18	$212.13	$888.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,005.13	Professional		$32.34	$32.34	$1,005.13
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $4,780.00	Facility		$749.00	$2,622.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.40 / $891.66 / $1,494.61	Professional		$638.40	$891.66	$1,494.61