Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $1,215.76 / $5,246.00	Facility		$0.64	$1,215.76	$5,246.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.03 / $469.93 / $1,255.69	Professional		$230.03	$469.93	$1,255.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $297.54 / $666.96	Professional		$138.61	$297.54	$666.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $979.98 / $2,150.92 / $4,662.33	Facility		$979.98	$2,150.92	$4,662.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.38 / $745.28 / $1,324.23	Professional		$271.38	$745.28	$1,324.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.91 / $785.00 / $1,231.60	Facility		$395.91	$785.00	$1,231.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.11 / $662.74 / $1,392.43	Professional		$252.11	$662.74	$1,392.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.36 / $1,084.95 / $2,105.61	Professional		$323.36	$1,084.95	$2,105.61
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 $271.51 / $295.27 / $1,044.77	Professional		$271.51	$295.27	$1,044.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,181.39	Professional		$32.34	$32.34	$1,181.39
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 $391.49 / $954.97 / $1,647.22	Professional		$391.49	$954.97	$1,647.22