Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,090.30 / $10,232.93	Facility		$588.84	$3,090.30	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $1,047.13	Professional		$323.59	$416.87	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $323.59 / $354.81	Professional		$281.84	$323.59	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,317.64 / $10,471.29	Facility		$4,265.80	$8,317.64	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $724.44	Professional		$457.09	$616.60	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $11,481.54 / $12,589.25	Facility		$7,585.78	$11,481.54	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $794.33	Professional		$354.81	$537.03	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $2,137.96	Professional		$380.19	$616.60	$2,137.96
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 $436.52 / $467.74 / $524.81	Professional		$436.52	$467.74	$524.81
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 $2,570.40 / $6,456.54 / $15,488.17	Facility		$2,570.40	$6,456.54	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $812.83	Professional		$371.54	$489.78	$812.83