Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,202.26 / $2,238.72	Facility		$741.31	$1,202.26	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $912.01	Professional		$630.96	$741.31	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $645.65 / $9,772.37	Facility		$478.63	$645.65	$9,772.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $870.96	Professional		$741.31	$758.58	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,479.11	Facility		$691.83	$1,071.52	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,479.11	Professional		$741.31	$1,071.52	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,174.90 / $3,019.95	Professional		$645.65	$1,174.90	$3,019.95
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 $794.33 / $831.76 / $933.25	Professional		$794.33	$831.76	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,288.25	Facility		$616.60	$1,000.00	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,348.96	Professional		$562.34	$870.96	$1,348.96