Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.62 / $1,452.00 / $5,389.00	Facility		$476.62	$1,452.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.74 / $1,000.28 / $2,006.12	Professional		$266.74	$1,000.28	$2,006.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.52 / $227.52 / $227.52	Professional		$227.52	$227.52	$227.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,939.67 / $4,149.04 / $8,308.45	Facility		$1,939.67	$4,149.04	$8,308.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.81 / $1,180.06 / $2,423.04	Professional		$306.81	$1,180.06	$2,423.04
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 $293.93 / $607.65 / $2,416.50	Professional		$293.93	$607.65	$2,416.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $336.98 / $1,552.58 / $3,994.10	Professional		$336.98	$1,552.58	$3,994.10
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 $270.18 / $312.91 / $1,495.08	Professional		$270.18	$312.91	$1,495.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,690.59	Professional		$32.34	$32.34	$1,690.59
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,356.97 / $2,066.27 / $3,264.87	Professional		$1,356.97	$2,066.27	$3,264.87