Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,862.09 / $7,762.47	Facility		$389.05	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $676.08 / $1,905.46	Professional		$194.98	$676.08	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $239.88	Professional		$158.49	$186.21	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,630.27 / $3,715.35	Facility		$1,258.93	$2,630.27	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $691.83 / $1,202.26	Professional		$229.09	$691.83	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $1,698.24	Facility		$302.00	$1,000.00	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $489.78 / $1,698.24	Professional		$218.78	$489.78	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,258.93 / $2,398.83	Professional		$275.42	$1,258.93	$2,398.83
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 $239.88 / $251.19 / $1,047.13	Professional		$239.88	$251.19	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $4,786.30	Facility		$891.25	$2,238.72	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $776.25 / $1,698.24	Professional		$218.78	$776.25	$1,698.24