Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.13 / $1,609.00 / $5,430.00	Facility		$412.13	$1,609.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.30 / $345.90 / $570.00	Professional		$230.30	$345.90	$570.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $348.64 / $348.64 / $348.64	Professional		$348.64	$348.64	$348.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,907.91 / $3,796.17 / $6,696.63	Facility		$1,907.91	$3,796.17	$6,696.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.50 / $473.83 / $599.63	Professional		$395.50	$473.83	$599.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.86 / $785.00 / $2,720.17	Facility		$386.86	$785.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.15 / $416.88 / $645.26	Professional		$212.15	$416.88	$645.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $539.32 / $996.40	Professional		$301.50	$539.32	$996.40
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 $408.60 / $424.92 / $471.26	Professional		$408.60	$424.92	$471.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $532.89	Professional		$32.34	$32.34	$532.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,751.00 / $6,296.00	Facility		$1,282.00	$3,751.00	$6,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.57 / $399.67 / $749.49	Professional		$279.57	$399.67	$749.49