Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.40 / $2,079.00 / $5,966.46	Facility		$377.40	$2,079.00	$5,966.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $336.25 / $847.71	Professional		$187.50	$336.25	$847.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $214.17 / $310.38	Professional		$114.47	$214.17	$310.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,179.36 / $2,511.37 / $3,806.90	Facility		$1,179.36	$2,511.37	$3,806.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.49 / $489.38 / $823.86	Professional		$225.49	$489.38	$823.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,200.00 / $2,769.00	Facility		$400.00	$1,200.00	$2,769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.93 / $406.98 / $823.33	Professional		$220.93	$406.98	$823.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $265.06 / $640.87 / $1,349.87	Professional		$265.06	$640.87	$1,349.87
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 $228.36 / $243.75 / $638.12	Professional		$228.36	$243.75	$638.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $721.56	Professional		$32.34	$32.34	$721.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,435.00 / $4,636.00	Facility		$1,183.00	$2,435.00	$4,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.67 / $517.85 / $1,002.31	Professional		$262.67	$517.85	$1,002.31