Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,507.00 / $2,750.00	Facility		$515.00	$1,507.00	$2,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.08 / $670.26 / $1,387.20	Professional		$174.08	$670.26	$1,387.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.18 / $272.18 / $272.18	Professional		$272.18	$272.18	$272.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,159.25 / $1,387.14 / $1,753.75	Facility		$1,159.25	$1,387.14	$1,753.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.73 / $822.00 / $1,443.80	Facility		$100.73	$822.00	$1,443.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.68 / $250.68 / $250.68	Professional		$250.68	$250.68	$250.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 Professional Modifier Low / Median / High Price $903.02 / $1,159.60 / $1,759.16	Professional		$903.02	$1,159.60	$1,759.16