Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.56 / $847.11 / $5,519.00	Facility		$458.56	$847.11	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.29 / $458.56 / $816.93	Professional		$295.29	$458.56	$816.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.10 / $529.20 / $529.20	Professional		$278.10	$529.20	$529.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,907.91 / $3,773.51 / $6,415.30	Facility		$1,907.91	$3,773.51	$6,415.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.75 / $549.87 / $829.73	Professional		$378.75	$549.87	$829.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $709.00 / $2,720.17	Facility		$450.00	$709.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.93 / $531.15 / $897.13	Professional		$328.93	$531.15	$897.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $390.58 / $685.44 / $1,418.56	Professional		$390.58	$685.44	$1,418.56
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 $378.86 / $406.20 / $655.20	Professional		$378.86	$406.20	$655.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $740.88	Professional		$32.34	$32.34	$740.88
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 $434.65 / $594.27 / $1,024.06	Professional		$434.65	$594.27	$1,024.06