Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $5,011.87 / $8,912.51	Facility		$380.19	$5,011.87	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $1,174.90	Professional		$204.17	$371.54	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,265.80 / $5,623.41	Facility		$2,089.30	$4,265.80	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $371.54	Professional		$251.19	$295.12	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $724.44 / $2,691.53	Facility		$575.44	$724.44	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $457.09	Professional		$204.17	$295.12	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $1,148.15	Professional		$229.09	$389.05	$1,148.15
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 $257.04 / $269.15 / $295.12	Professional		$257.04	$269.15	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $269.15	Professional		$28.18	$33.11	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,467.37 / $7,585.78	Facility		$1,023.29	$3,467.37	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $426.58	Professional		$194.98	$257.04	$426.58