Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.00 / $2,265.00 / $7,432.82	Facility		$676.00	$2,265.00	$7,432.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.32 / $475.54 / $1,179.53	Professional		$394.32	$475.54	$1,179.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $596.32 / $596.32 / $596.32	Professional		$596.32	$596.32	$596.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,430.97 / $5,288.13 / $10,872.17	Facility		$3,430.97	$5,288.13	$10,872.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.62 / $769.68 / $932.44	Professional		$556.62	$769.68	$932.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,338.66 / $2,610.83	Facility		$875.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.48 / $666.30 / $981.43	Professional		$452.48	$666.30	$981.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $519.41 / $777.35 / $1,704.02	Professional		$519.41	$777.35	$1,704.02
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 $521.96 / $577.46 / $646.01	Professional		$521.96	$577.46	$646.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $730.49	Professional		$32.34	$32.34	$730.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $425.37 / $583.12 / $1,004.84	Professional		$425.37	$583.12	$1,004.84