Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.24 / $3,221.00 / $11,063.68	Facility		$602.24	$3,221.00	$11,063.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.25 / $577.82 / $1,294.08	Professional		$366.25	$577.82	$1,294.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $384.57 / $442.26 / $577.42	Professional		$384.57	$442.26	$577.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,420.83 / $4,958.22 / $9,923.37	Facility		$3,420.83	$4,958.22	$9,923.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.11 / $702.60 / $1,184.30	Professional		$508.11	$702.60	$1,184.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $2,338.66 / $2,610.83	Facility		$709.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.76 / $694.04 / $1,074.26	Professional		$424.76	$694.04	$1,074.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $477.38 / $863.20 / $2,050.60	Professional		$477.38	$863.20	$2,050.60
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 $498.77 / $533.25 / $814.27	Professional		$498.77	$533.25	$814.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $920.75	Professional		$32.34	$32.34	$920.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.35 / $766.21 / $1,330.08	Professional		$545.35	$766.21	$1,330.08