Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.08 / $1,600.00 / $5,091.00	Facility		$509.08	$1,600.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.68 / $461.79 / $927.65	Professional		$333.68	$461.79	$927.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $675.29 / $675.29 / $675.29	Professional		$675.29	$675.29	$675.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,144.98 / $4,023.40 / $8,775.54	Facility		$2,144.98	$4,023.40	$8,775.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.27 / $619.86 / $1,002.04	Professional		$448.27	$619.86	$1,002.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,378.17 / $1,538.56	Facility		$620.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.55 / $586.19 / $914.42	Professional		$371.55	$586.19	$914.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $448.47 / $734.71 / $1,559.80	Professional		$448.47	$734.71	$1,559.80
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 $430.66 / $466.78 / $692.77	Professional		$430.66	$466.78	$692.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $783.36	Professional		$32.34	$32.34	$783.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,622.00 / $5,026.00	Facility		$1,095.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.34 / $609.47 / $1,051.20	Professional		$449.34	$609.47	$1,051.20