Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,090.30 / $8,317.64	Facility		$501.19	$3,090.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $645.65 / $1,445.44	Professional		$218.78	$645.65	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $1,047.13	Professional		$104.71	$194.98	$1,047.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $3,890.45	Facility		$1,698.24	$2,691.53	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $660.69 / $933.25	Professional		$257.04	$660.69	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $4,570.88 / $10,000.00	Facility		$398.11	$4,570.88	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $524.81 / $1,318.26	Professional		$245.47	$524.81	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,174.90 / $2,398.83	Professional		$302.00	$1,174.90	$2,398.83
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 $263.03 / $281.84 / $933.25	Professional		$263.03	$281.84	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
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 $239.88 / $616.60 / $1,258.93	Professional		$239.88	$616.60	$1,258.93