Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.58 / $1,842.00 / $5,636.15	Facility		$348.58	$1,842.00	$5,636.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.28 / $324.13 / $657.06	Professional		$167.28	$324.13	$657.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $479.93 / $479.93 / $479.93	Professional		$479.93	$479.93	$479.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,119.59 / $3,800.30 / $5,553.12	Facility		$1,119.59	$3,800.30	$5,553.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.09 / $367.84 / $642.95	Professional		$226.09	$367.84	$642.95
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 $208.85 / $362.30 / $624.53	Professional		$208.85	$362.30	$624.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $258.87 / $502.67 / $1,106.23	Professional		$258.87	$502.67	$1,106.23
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 $212.26 / $235.05 / $466.77	Professional		$212.26	$235.05	$466.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $538.58	Professional		$32.34	$32.34	$538.58
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.92 / $486.91 / $785.34	Professional		$342.92	$486.91	$785.34