Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.46 / $1,640.00 / $5,389.00	Facility		$375.46	$1,640.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.62 / $423.83 / $791.12	Professional		$225.62	$423.83	$791.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.02 / $192.02 / $264.25	Professional		$192.02	$192.02	$264.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,231.80 / $2,175.50 / $5,860.41	Facility		$1,231.80	$2,175.50	$5,860.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.24 / $474.06 / $911.73	Professional		$261.24	$474.06	$911.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,087.17 / $2,769.00	Facility		$400.00	$1,087.17	$2,769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $489.88 / $882.87	Professional		$264.70	$489.88	$882.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $314.85 / $674.56 / $1,652.39	Professional		$314.85	$674.56	$1,652.39
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 $263.20 / $287.12 / $644.79	Professional		$263.20	$287.12	$644.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $729.12	Professional		$32.34	$32.34	$729.12
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,664.00 / $4,391.00	Facility		$815.00	$2,664.00	$4,391.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.66 / $627.76 / $1,035.38	Professional		$457.66	$627.76	$1,035.38