Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $5,128.61 / $8,912.51	Facility		$691.83	$5,128.61	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $1,122.02	Professional		$251.19	$398.11	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $257.04	Professional		$234.42	$234.42	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,079.46 / $10,232.93	Facility		$2,630.27	$7,079.46	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $467.74	Professional		$316.23	$371.54	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $724.44 / $5,623.41	Facility		$575.44	$724.44	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $575.44	Professional		$257.04	$371.54	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $1,513.56	Professional		$288.40	$489.78	$1,513.56
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 $323.59 / $338.84 / $371.54	Professional		$323.59	$338.84	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,168.69 / $7,585.78	Facility		$1,096.48	$4,168.69	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $537.03	Professional		$245.47	$323.59	$537.03