Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.72 / $1,568.00 / $5,405.00	Facility		$480.72	$1,568.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.32 / $450.99 / $793.00	Professional		$315.32	$450.99	$793.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $486.36 / $486.36 / $486.36	Professional		$486.36	$486.36	$486.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,907.91 / $3,785.92 / $6,678.54	Facility		$1,907.91	$3,785.92	$6,678.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.05 / $537.10 / $812.04	Professional		$393.05	$537.10	$812.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $643.00 / $2,720.17	Facility		$400.00	$643.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.09 / $540.41 / $869.28	Professional		$328.09	$540.41	$869.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $365.34 / $664.61 / $1,395.96	Professional		$365.34	$664.61	$1,395.96
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 $407.60 / $422.42 / $639.99	Professional		$407.60	$422.42	$639.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $723.68	Professional		$32.34	$32.34	$723.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.39 / $572.41 / $1,008.72	Professional		$402.39	$572.41	$1,008.72