Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.30 / $1,283.00 / $2,750.00	Facility		$429.30	$1,283.00	$2,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $475.00 / $676.03	Professional		$375.00	$475.00	$676.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.68 / $247.68 / $247.68	Professional		$247.68	$247.68	$247.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $410.71 / $1,740.80 / $4,818.85	Facility		$410.71	$1,740.80	$4,818.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.91 / $483.00 / $925.91	Professional		$180.91	$483.00	$925.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.88 / $353.27 / $892.58	Facility		$300.88	$353.27	$892.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.56 / $582.23 / $889.70	Professional		$392.56	$582.23	$889.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.47 / $694.52 / $2,428.17	Professional		$457.47	$694.52	$2,428.17
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 $491.54 / $500.63 / $540.64	Professional		$491.54	$500.63	$540.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $196.60 / $534.53	Professional		$32.34	$196.60	$534.53
United Facility/Professional Professional Modifier Low / Median / High Price $448.12 / $580.51 / $893.89	Professional		$448.12	$580.51	$893.89