Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,621.81 / $5,623.41	Facility		$302.00	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $549.54 / $1,479.11	Professional		$229.09	$549.54	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $323.59	Professional		$194.98	$275.42	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,737.80 / $3,981.07	Facility		$977.24	$1,737.80	$3,981.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $741.31 / $1,047.13	Professional		$269.15	$741.31	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $1,230.27	Facility		$398.11	$588.84	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $645.65 / $1,445.44	Professional		$239.88	$645.65	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,258.93 / $2,344.23	Professional		$316.23	$1,258.93	$2,344.23
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 $269.15 / $295.12 / $1,047.13	Professional		$269.15	$295.12	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,174.90	Professional		$32.36	$33.11	$1,174.90
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 $245.47 / $660.69 / $1,348.96	Professional		$245.47	$660.69	$1,348.96