Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,095.00 / $7,252.22	Facility		$676.00	$2,095.00	$7,252.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.98 / $754.92 / $1,598.07	Professional		$588.98	$754.92	$1,598.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $700.55 / $700.55 / $728.84	Professional		$700.55	$700.55	$728.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $5,955.11 / $12,988.85	Facility		$2,517.01	$5,955.11	$12,988.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.77 / $930.94 / $1,305.53	Professional		$780.77	$930.94	$1,305.53
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 $674.49 / $941.02 / $1,410.79	Professional		$674.49	$941.02	$1,410.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $728.84 / $1,129.70 / $2,644.52	Professional		$728.84	$1,129.70	$2,644.52
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 $796.89 / $827.84 / $1,040.38	Professional		$796.89	$827.84	$1,040.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,200.44	Professional		$32.34	$32.34	$1,200.44
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 $666.48 / $935.46 / $1,637.92	Professional		$666.48	$935.46	$1,637.92