Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.62 / $2,989.00 / $7,973.40	Facility		$298.62	$2,989.00	$7,973.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $266.66 / $968.00	Professional		$180.74	$266.66	$968.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.70 / $215.83 / $319.95	Professional		$202.70	$215.83	$319.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,335.96 / $2,857.68 / $5,722.50	Facility		$1,335.96	$2,857.68	$5,722.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $365.13 / $407.92	Professional		$281.80	$365.13	$407.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $10,710.00 / $17,537.00	Facility		$1,855.00	$10,710.00	$17,537.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.52 / $328.14 / $493.40	Professional		$211.52	$328.14	$493.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $255.22 / $366.38 / $3,075.90	Professional		$255.22	$366.38	$3,075.90
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 $232.05 / $277.29 / $315.99	Professional		$232.05	$277.29	$315.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $357.31	Professional		$32.34	$32.34	$357.31
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.82 / $310.92 / $490.16	Professional		$210.82	$310.92	$490.16