Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.70 / $1,361.00 / $5,493.00	Facility		$346.70	$1,361.00	$5,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.48 / $328.49 / $725.60	Professional		$214.48	$328.49	$725.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.23 / $208.23 / $208.44	Professional		$208.23	$208.23	$208.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,994.91 / $3,773.17 / $5,511.92	Facility		$1,994.91	$3,773.17	$5,511.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.32 / $321.02 / $398.99	Professional		$269.32	$321.02	$398.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $463.00 / $2,728.73	Facility		$251.53	$463.00	$2,728.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $383.15 / $761.50	Professional		$236.00	$383.15	$761.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.76 / $395.55 / $1,892.84	Professional		$257.76	$395.55	$1,892.84
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 $248.21 / $285.68 / $319.29	Professional		$248.21	$285.68	$319.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $361.05	Professional		$32.34	$32.34	$361.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,530.00 / $8,995.00	Facility		$1,172.00	$4,530.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.14 / $428.72 / $664.94	Professional		$233.14	$428.72	$664.94