Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.00 / $5,389.00 / $9,691.00	Facility		$1,144.00	$5,389.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.58 / $1,371.25 / $1,602.63	Professional		$911.58	$1,371.25	$1,602.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,794.79 / $1,794.79 / $1,794.79	Professional		$1,794.79	$1,794.79	$1,794.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,374.56 / $8,142.43 / $10,519.78	Facility		$5,374.56	$8,142.43	$10,519.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,033.86 / $2,476.00 / $2,476.00	Professional		$2,033.86	$2,476.00	$2,476.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $6,773.00 / $8,602.00	Facility		$2,060.00	$6,773.00	$8,602.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $357.70 / $1,945.43 / $3,183.43	Professional		$357.70	$1,945.43	$3,183.43
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 $357.70 / $393.22 / $2,299.14	Professional		$357.70	$393.22	$2,299.14
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 $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,390.80 / $2,043.73 / $3,305.68	Professional		$1,390.80	$2,043.73	$3,305.68