Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.94 / $2,506.32 / $3,227.28	Facility		$603.94	$2,506.32	$3,227.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.58 / $582.34 / $686.33	Professional		$495.58	$582.34	$686.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $585.57 / $585.57 / $585.57	Professional		$585.57	$585.57	$585.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $730.10 / $5,472.42 / $12,730.48	Facility		$730.10	$5,472.42	$12,730.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.34 / $683.16 / $780.76	Professional		$670.34	$683.16	$780.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.58 / $692.23 / $1,484.21	Facility		$691.58	$692.23	$1,484.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.90 / $871.99 / $1,209.89	Professional		$627.90	$871.99	$1,209.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $604.87 / $910.88 / $2,499.61	Professional		$604.87	$910.88	$2,499.61
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 $726.21 / $748.89 / $845.82	Professional		$726.21	$748.89	$845.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $795.46 / $1,244.50 / $2,035.07	Facility		$795.46	$1,244.50	$2,035.07
United Facility/Professional Professional Modifier Low / Median / High Price $486.19 / $710.18 / $1,127.64	Professional		$486.19	$710.18	$1,127.64