Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.26 / $1,972.00 / $5,430.00	Facility		$343.26	$1,972.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.26 / $342.30 / $558.77	Professional		$203.26	$342.30	$558.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $430.58 / $430.58 / $430.58	Professional		$430.58	$430.58	$430.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,448.53 / $4,494.10 / $6,363.64	Facility		$2,448.53	$4,494.10	$6,363.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.79 / $421.07 / $713.86	Professional		$243.79	$421.07	$713.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.21 / $364.85 / $627.26	Professional		$215.21	$364.85	$627.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $271.43 / $503.11 / $1,135.11	Professional		$271.43	$503.11	$1,135.11
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 $232.77 / $252.04 / $471.38	Professional		$232.77	$252.04	$471.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $543.90	Professional		$32.34	$32.34	$543.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.83 / $458.85 / $784.76	Professional		$320.83	$458.85	$784.76