Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,949.84 / $7,762.47	Facility		$489.78	$1,949.84	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $1,071.52	Professional		$309.03	$489.78	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $524.81	Professional		$363.08	$363.08	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,890.45 / $5,623.41	Facility		$2,041.74	$3,890.45	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $831.76	Professional		$380.19	$549.54	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $2,691.53	Facility		$446.68	$588.84	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $933.25	Professional		$331.13	$512.86	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $741.31 / $1,584.89	Professional		$389.05	$741.31	$1,584.89
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 $380.19 / $407.38 / $660.69	Professional		$380.19	$407.38	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $724.44	Professional		$32.36	$33.11	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,467.37 / $6,760.83	Facility		$1,096.48	$3,467.37	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $812.83	Professional		$316.23	$478.63	$812.83