Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,398.83 / $3,548.13	Facility		$602.56	$2,398.83	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $741.31	Professional		$489.78	$588.84	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $575.44	Professional		$501.19	$501.19	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $645.65 / $11,748.98	Facility		$478.63	$645.65	$11,748.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $776.25	Professional		$676.08	$676.08	$776.25
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 $602.56 / $870.96 / $1,202.26	Professional		$602.56	$870.96	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,023.29 / $2,754.23	Professional		$575.44	$1,023.29	$2,754.23
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 $724.44 / $741.31 / $851.14	Professional		$724.44	$741.31	$851.14
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 $562.34 / $1,000.00 / $1,288.25	Facility		$562.34	$1,000.00	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,047.13	Professional		$501.19	$691.83	$1,047.13