Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,621.81 / $5,623.41	Facility		$190.55	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $354.81 / $1,230.27	Professional		$97.72	$354.81	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $707.95	Professional		$81.28	$81.28	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,621.81 / $2,089.30	Facility		$933.25	$1,621.81	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $380.19 / $831.76	Professional		$114.82	$380.19	$831.76
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 $107.15 / $323.59 / $1,148.15	Professional		$107.15	$323.59	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $954.99 / $1,380.38	Professional		$138.04	$954.99	$1,380.38
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 $117.49 / $125.89 / $831.76	Professional		$117.49	$125.89	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $954.99	Professional		$32.36	$33.11	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $4,570.88	Facility		$891.25	$2,238.72	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $467.74 / $1,071.52	Professional		$107.15	$467.74	$1,071.52