Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.11 / $1,305.00 / $5,091.00	Facility		$579.11	$1,305.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.68 / $569.13 / $1,104.25	Professional		$291.68	$569.13	$1,104.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $578.60 / $591.47 / $763.20	Professional		$578.60	$591.47	$763.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $2,841.52 / $6,197.72	Facility		$842.29	$2,841.52	$6,197.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.91 / $662.51 / $1,059.46	Professional		$370.91	$662.51	$1,059.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.82 / $621.41 / $1,070.84	Professional		$326.82	$621.41	$1,070.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $365.90 / $879.90 / $1,832.83	Professional		$365.90	$879.90	$1,832.83
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 $377.62 / $397.31 / $847.31	Professional		$377.62	$397.31	$847.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $977.67	Professional		$32.34	$32.34	$977.67
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.74 / $764.81 / $1,311.11	Professional		$541.74	$764.81	$1,311.11