Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.23 / $1,646.36 / $5,091.00	Facility		$227.23	$1,646.36	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.45 / $743.78 / $1,658.41	Professional		$114.45	$743.78	$1,658.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.01 / $164.01 / $164.01	Professional		$164.01	$164.01	$164.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $762.73 / $2,144.98 / $2,905.02	Facility		$762.73	$2,144.98	$2,905.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $585.61 / $1,945.40	Professional		$137.00	$585.61	$1,945.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $587.00 / $908.00	Facility		$202.58	$587.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $402.00 / $1,999.65	Professional		$137.43	$402.00	$1,999.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $1,489.82 / $2,250.07	Professional		$162.41	$1,489.82	$2,250.07
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 $139.33 / $149.97 / $1,556.62	Professional		$139.33	$149.97	$1,556.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,760.18	Professional		$32.34	$32.34	$1,760.18
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,905.00 / $4,183.00	Facility		$600.00	$1,905.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,072.20 / $1,446.31 / $2,443.85	Professional		$1,072.20	$1,446.31	$2,443.85