Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.01 / $3,720.00 / $11,985.73	Facility		$581.01	$3,720.00	$11,985.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.83 / $559.72 / $1,150.89	Professional		$321.83	$559.72	$1,150.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $521.61 / $521.61 / $521.61	Professional		$521.61	$521.61	$521.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,491.66 / $7,412.78 / $13,378.48	Facility		$3,491.66	$7,412.78	$13,378.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.73 / $933.62 / $977.38	Professional		$543.73	$933.62	$977.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $7,366.00 / $8,072.00	Facility		$709.00	$7,366.00	$8,072.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.40 / $579.57 / $940.46	Professional		$386.40	$579.57	$940.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $386.41 / $632.29 / $3,234.31	Professional		$386.41	$632.29	$3,234.31
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 $413.31 / $456.66 / $502.29	Professional		$413.31	$456.66	$502.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $579.57	Professional		$32.34	$32.34	$579.57
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 $397.16 / $647.69 / $961.17	Professional		$397.16	$647.69	$961.17