Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,118.00 / $6,180.00	Facility		$755.00	$2,118.00	$6,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.54 / $879.78 / $1,716.23	Professional		$676.54	$879.78	$1,716.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $961.09 / $961.09 / $961.09	Professional		$961.09	$961.09	$961.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $6,821.95 / $14,879.55	Facility		$2,517.01	$6,821.95	$14,879.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.11 / $1,094.02 / $1,570.40	Professional		$897.11	$1,094.02	$1,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.38 / $1,081.23 / $1,692.07	Professional		$781.38	$1,081.23	$1,692.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $867.35 / $1,349.21 / $2,759.72	Professional		$867.35	$1,349.21	$2,759.72
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 $912.03 / $951.05 / $1,252.83	Professional		$912.03	$951.05	$1,252.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,445.58	Professional		$32.34	$32.34	$1,445.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $862.66 / $1,181.50 / $2,056.56	Professional		$862.66	$1,181.50	$2,056.56