Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.99 / $2,659.00 / $6,912.62	Facility		$334.99	$2,659.00	$6,912.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.25 / $328.28 / $609.61	Professional		$233.25	$328.28	$609.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $360.72 / $360.72 / $423.41	Professional		$360.72	$360.72	$423.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,284.98 / $4,209.30 / $6,164.80	Facility		$2,284.98	$4,209.30	$6,164.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.93 / $487.45 / $572.53	Professional		$310.93	$487.45	$572.53
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 $263.91 / $410.28 / $567.55	Professional		$263.91	$410.28	$567.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $315.62 / $461.04 / $1,262.50	Professional		$315.62	$461.04	$1,262.50
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 $301.64 / $322.06 / $414.52	Professional		$301.64	$322.06	$414.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $478.29	Professional		$32.34	$32.34	$478.29
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 $280.42 / $415.18 / $659.28	Professional		$280.42	$415.18	$659.28