Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,238.72 / $6,456.54	Facility		$389.05	$2,238.72	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $602.56 / $2,137.96	Professional		$194.98	$602.56	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $1,258.93	Professional		$93.33	$173.78	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,466.84 / $6,165.95	Facility		$1,905.46	$4,466.84	$6,165.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $812.83 / $1,230.27	Professional		$229.09	$812.83	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,230.27 / $2,884.03	Facility		$398.11	$1,230.27	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $794.33 / $2,344.23	Professional		$223.87	$794.33	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,548.82 / $3,162.28	Professional		$269.15	$1,548.82	$3,162.28
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 $234.42 / $251.19 / $1,230.27	Professional		$234.42	$251.19	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,202.26	Professional		$32.36	$33.11	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,365.16 / $9,332.54	Facility		$1,412.54	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $912.01 / $2,454.71	Professional		$218.78	$912.01	$2,454.71