Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,862.09 / $7,762.47	Facility		$316.23	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $524.81	Professional		$165.96	$229.09	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $199.53	Professional		$162.18	$162.18	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $3,715.35	Facility		$1,096.48	$1,318.26	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $389.05	Professional		$218.78	$281.84	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $407.38	Professional		$177.83	$275.42	$407.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $1,047.13	Professional		$208.93	$338.84	$1,047.13
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 $213.80 / $223.87 / $288.40	Professional		$213.80	$223.87	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $288.40	Professional		$32.36	$32.36	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $3,801.89	Facility		$724.44	$1,479.11	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $416.87	Professional		$165.96	$251.19	$416.87