Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,511.89 / $8,128.31	Facility		$398.11	$2,511.89	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $831.76	Professional		$208.93	$346.74	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $239.88	Professional		$181.97	$208.93	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,073.80 / $5,495.41	Facility		$2,238.72	$4,073.80	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $398.11	Professional		$269.15	$323.59	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $3,090.30	Facility		$302.00	$1,000.00	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $707.95	Professional		$223.87	$371.54	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $537.03 / $1,949.84	Professional		$245.47	$537.03	$1,949.84
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 $245.47 / $288.40 / $316.23	Professional		$245.47	$288.40	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,365.16 / $8,912.51	Facility		$1,584.89	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $630.96	Professional		$218.78	$407.38	$630.96