Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.19 / $1,678.00 / $6,759.04	Facility		$585.19	$1,678.00	$6,759.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.56 / $547.15 / $985.36	Professional		$393.56	$547.15	$985.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $536.35 / $536.35 / $536.35	Professional		$536.35	$536.35	$536.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,409.27 / $2,286.12 / $8,605.02	Facility		$1,409.27	$2,286.12	$8,605.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.84 / $646.38 / $973.02	Professional		$508.84	$646.38	$973.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $723.47 / $1,231.60	Facility		$450.00	$723.47	$1,231.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.61 / $668.80 / $1,054.59	Professional		$405.61	$668.80	$1,054.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $483.15 / $811.51 / $1,610.31	Professional		$483.15	$811.51	$1,610.31
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 $505.00 / $543.40 / $770.21	Professional		$505.00	$543.40	$770.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $870.93	Professional		$32.34	$32.34	$870.93
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 $498.06 / $703.58 / $1,194.77	Professional		$498.06	$703.58	$1,194.77