Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.44 / $1,731.00 / $4,911.22	Facility		$339.44	$1,731.00	$4,911.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.16 / $685.00 / $1,700.79	Professional		$197.16	$685.00	$1,700.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $187.85 / $912.00	Professional		$93.92	$187.85	$912.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,292.32 / $3,337.11 / $5,922.80	Facility		$1,292.32	$3,337.11	$5,922.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.09 / $881.06 / $1,465.88	Professional		$228.09	$881.06	$1,465.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.95 / $1,230.00 / $3,279.00	Facility		$338.95	$1,230.00	$3,279.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.10 / $814.48 / $2,187.86	Professional		$231.10	$814.48	$2,187.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $270.41 / $1,300.27 / $2,766.78	Professional		$270.41	$1,300.27	$2,766.78
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 $233.82 / $250.37 / $1,228.83	Professional		$233.82	$250.37	$1,228.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,389.53	Professional		$32.34	$32.34	$1,389.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,184.08 / $1,980.42 / $2,916.03	Professional		$1,184.08	$1,980.42	$2,916.03