Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.16 / $440.72 / $778.49	Facility		$242.16	$440.72	$778.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.54 / $283.98 / $881.44	Professional		$188.54	$283.98	$881.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $344.47 / $344.47 / $344.47	Professional		$344.47	$344.47	$344.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,443.19 / $3,087.04 / $6,181.79	Facility		$1,443.19	$3,087.04	$6,181.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.85 / $395.00 / $433.34	Professional		$304.85	$395.00	$433.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $908.00 / $39,621.00	Facility		$875.00	$908.00	$39,621.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $354.98 / $499.61	Professional		$247.00	$354.98	$499.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $249.25 / $402.31 / $1,267.66	Professional		$249.25	$402.31	$1,267.66
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 $234.65 / $294.57 / $341.84	Professional		$234.65	$294.57	$341.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $394.43	Professional		$32.34	$32.34	$394.43
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.06 / $364.73 / $626.91	Professional		$236.06	$364.73	$626.91