Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,698.24 / $7,762.47	Facility		$467.74	$1,698.24	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $575.44 / $1,202.26	Professional		$288.40	$575.44	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $275.42 / $457.09	Professional		$131.83	$275.42	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $7,079.46	Facility		$2,454.71	$2,951.21	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $1,202.26	Professional		$416.87	$691.83	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,090.30 / $10,232.93	Facility		$1,071.52	$3,090.30	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $645.65 / $1,174.90	Professional		$338.84	$645.65	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,071.52 / $3,388.44	Professional		$436.52	$1,071.52	$3,388.44
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 $389.05 / $426.58 / $912.01	Professional		$389.05	$426.58	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $933.25	Professional		$32.36	$32.36	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,548.13 / $6,165.95	Facility		$1,412.54	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $1,071.52	Professional		$338.84	$602.56	$1,071.52