Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.33 / $1,609.00 / $5,430.00	Facility		$416.33	$1,609.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.79 / $368.18 / $611.11	Professional		$226.79	$368.18	$611.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $675.70 / $675.70 / $675.70	Professional		$675.70	$675.70	$675.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,907.91 / $3,922.17 / $7,538.63	Facility		$1,907.91	$3,922.17	$7,538.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.09 / $527.26 / $669.40	Professional		$440.09	$527.26	$669.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $875.00 / $2,720.17	Facility		$300.00	$875.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.37 / $447.50 / $718.01	Professional		$248.37	$447.50	$718.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $364.90 / $602.09 / $1,078.47	Professional		$364.90	$602.09	$1,078.47
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 $455.05 / $474.37 / $524.39	Professional		$455.05	$474.37	$524.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $592.97	Professional		$32.34	$32.34	$592.97
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 $317.10 / $438.31 / $823.16	Professional		$317.10	$438.31	$823.16