Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,819.70 / $5,623.41	Facility		$363.08	$1,819.70	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $436.52 / $1,174.90	Professional		$194.98	$436.52	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $269.15	Professional		$165.96	$199.53	$269.15
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 $229.09 / $512.86 / $794.33	Professional		$229.09	$512.86	$794.33
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 $218.78 / $446.68 / $1,096.48	Professional		$218.78	$446.68	$1,096.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $891.25 / $1,513.56	Professional		$269.15	$891.25	$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 $234.42 / $251.19 / $794.33	Professional		$234.42	$251.19	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $891.25	Professional		$32.36	$33.11	$891.25
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 $208.93 / $426.58 / $1,047.13	Professional		$208.93	$426.58	$1,047.13