Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.18 / $1,146.00 / $4,961.00	Facility		$378.18	$1,146.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.27 / $356.70 / $669.90	Professional		$242.27	$356.70	$669.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.89 / $244.89 / $244.89	Professional		$244.89	$244.89	$244.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,733.68 / $5,900.23 / $8,387.73	Facility		$2,733.68	$5,900.23	$8,387.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.91 / $471.56 / $755.76	Professional		$339.91	$471.56	$755.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.82 / $477.06 / $734.11	Professional		$314.82	$477.06	$734.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.37 / $627.61 / $1,781.32	Professional		$380.37	$627.61	$1,781.32
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 $344.77 / $360.26 / $539.28	Professional		$344.77	$360.26	$539.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $609.79	Professional		$32.34	$32.34	$609.79
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.35 / $565.98 / $996.96	Professional		$395.35	$565.98	$996.96