Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,370.32 / $10,232.93	Facility		$812.83	$5,370.32	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $851.14 / $5,623.41	Professional		$245.47	$851.14	$5,623.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $323.59	Professional		$181.97	$229.09	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,456.54 / $8,511.38	Facility		$2,818.38	$6,456.54	$8,511.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,148.15 / $3,388.44	Professional		$436.52	$1,148.15	$3,388.44
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 $269.15 / $812.83 / $3,467.37	Professional		$269.15	$812.83	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $2,630.27 / $5,128.61	Professional		$323.59	$2,630.27	$5,128.61
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 $281.84 / $316.23 / $2,570.40	Professional		$281.84	$316.23	$2,570.40
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 $1,698.24 / $4,365.16 / $9,772.37	Facility		$1,698.24	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $851.14 / $3,388.44	Professional		$295.12	$851.14	$3,388.44