Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,715.35 / $10,964.78	Facility		$363.08	$3,715.35	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $457.09 / $2,344.23	Professional		$190.55	$457.09	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $281.84	Professional		$169.82	$186.21	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,884.03 / $5,495.41	Facility		$1,071.52	$2,884.03	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $407.38	Professional		$281.84	$363.08	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,715.19 / $17,378.01	Facility		$9,120.11	$10,715.19	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $489.78	Professional		$208.93	$323.59	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $3,311.31	Professional		$234.42	$371.54	$3,311.31
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 $234.42 / $275.42 / $316.23	Professional		$234.42	$275.42	$316.23
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $467.74	Professional		$199.53	$275.42	$467.74