Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,905.46 / $6,918.31	Facility		$446.68	$1,905.46	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $794.33	Professional		$239.88	$389.05	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $478.63	Professional		$354.81	$354.81	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,981.07 / $6,456.54	Facility		$2,041.74	$3,981.07	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $676.08	Professional		$436.52	$524.81	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $2,691.53	Facility		$302.00	$1,000.00	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $724.44	Professional		$251.19	$416.87	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $1,174.90	Professional		$363.08	$676.08	$1,174.90
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 $457.09 / $478.63 / $524.81	Professional		$457.09	$478.63	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,548.13 / $6,760.83	Facility		$1,096.48	$3,548.13	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $645.65	Professional		$245.47	$371.54	$645.65