Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,715.35 / $13,803.84	Facility		$831.76	$3,715.35	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,584.89	Professional		$501.19	$741.31	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $645.65	Professional		$223.87	$346.74	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,511.38 / $12,302.69	Facility		$6,025.60	$8,511.38	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $1,445.44	Professional		$676.08	$1,148.15	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,348.96	Professional		$588.84	$851.14	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $3,235.94	Professional		$707.95	$1,096.48	$3,235.94
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 $676.08 / $707.95 / $1,000.00	Professional		$676.08	$707.95	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $5,128.61	Facility		$1,096.48	$2,951.21	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,318.26	Professional		$549.54	$776.25	$1,318.26