Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.15 / $1,230.35 / $3,173.13	Facility		$734.15	$1,230.35	$3,173.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.66 / $734.15 / $1,007.54	Professional		$733.66	$734.15	$1,007.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $705.14 / $705.14 / $880.98	Professional		$705.14	$705.14	$880.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $1,067.89 / $6,411.76	Facility		$384.00	$1,067.89	$6,411.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $697.57 / $787.80 / $787.80	Professional		$697.57	$787.80	$787.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $733.67 / $733.67	Facility		$733.67	$733.67	$733.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $899.78	Professional		$733.67	$733.67	$899.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $491.14 / $1,122.95 / $2,314.81	Professional		$491.14	$1,122.95	$2,314.81
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 $953.77 / $953.77 / $953.77	Professional		$953.77	$953.77	$953.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $705.14 / $987.20 / $1,057.71	Professional		$705.14	$987.20	$1,057.71
United Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $775.89 / $933.96	Professional		$733.67	$775.89	$933.96