Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,862.09 / $5,888.44	Facility		$457.09	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $389.05 / $1,000.00	Professional		$181.97	$389.05	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $239.88	Professional		$85.11	$194.98	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,630.27 / $3,630.78	Facility		$1,258.93	$2,630.27	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $457.09 / $645.65	Professional		$223.87	$457.09	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,698.24 / $2,754.23	Facility		$398.11	$1,698.24	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $416.87 / $870.96	Professional		$204.17	$416.87	$870.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $707.95 / $1,949.84	Professional		$263.03	$707.95	$1,949.84
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 $229.09 / $245.47 / $630.96	Professional		$229.09	$245.47	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $707.95	Professional		$32.36	$33.11	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $4,786.30	Facility		$891.25	$2,238.72	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $776.25	Professional		$204.17	$354.81	$776.25