Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.52 / $1,842.00 / $7,317.18	Facility		$273.52	$1,842.00	$7,317.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.54 / $518.29 / $3,756.56	Professional		$266.54	$518.29	$3,756.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.95 / $239.47 / $2,070.21	Professional		$229.95	$239.47	$2,070.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,113.03 / $2,175.50 / $5,295.35	Facility		$1,113.03	$2,175.50	$5,295.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.82 / $1,315.47 / $3,779.87	Professional		$307.82	$1,315.47	$3,779.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $908.00 / $2,769.00	Facility		$400.00	$908.00	$2,769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.30 / $696.87 / $3,976.62	Professional		$306.30	$696.87	$3,976.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $362.81 / $2,214.12 / $4,029.64	Professional		$362.81	$2,214.12	$4,029.64
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 $313.77 / $336.90 / $2,993.45	Professional		$313.77	$336.90	$2,993.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,384.90	Professional		$32.34	$32.34	$3,384.90
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.66 / $2,991.83 / $6,305.60	Professional		$640.66	$2,991.83	$6,305.60