Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,862.09 / $8,128.31	Facility		$338.84	$1,862.09	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $501.19 / $1,174.90	Professional		$177.83	$501.19	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $616.60	Professional		$154.88	$181.97	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,548.13 / $4,786.30	Facility		$1,778.28	$3,548.13	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $741.31	Professional		$213.80	$467.74	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $2,398.83	Facility		$302.00	$1,000.00	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $436.52 / $1,000.00	Professional		$194.98	$436.52	$1,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $812.83 / $1,778.28	Professional		$239.88	$812.83	$1,778.28
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 $218.78 / $229.09 / $724.44	Professional		$218.78	$229.09	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
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 $186.21 / $446.68 / $851.14	Professional		$186.21	$446.68	$851.14