Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,995.26 / $7,943.28	Facility		$281.84	$1,995.26	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $338.84 / $1,023.29	Professional		$151.36	$338.84	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $275.42	Professional		$223.87	$223.87	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,168.69 / $5,495.41	Facility		$1,737.80	$4,168.69	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $354.81 / $630.96	Professional		$186.21	$354.81	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,413.10 / $8,128.31	Facility		$4,365.16	$7,413.10	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $602.56	Professional		$173.78	$316.23	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $467.74 / $1,412.54	Professional		$208.93	$467.74	$1,412.54
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 $177.83 / $194.98 / $457.09	Professional		$177.83	$194.98	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $562.34	Professional		$177.83	$302.00	$562.34