Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,882.00 / $5,389.00	Facility		$720.00	$1,882.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $691.91 / $1,611.11	Professional		$585.00	$691.91	$1,611.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $885.31 / $885.31 / $885.31	Professional		$885.31	$885.31	$885.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,788.99 / $7,417.85 / $16,179.28	Facility		$3,788.99	$7,417.85	$16,179.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.37 / $1,142.68 / $1,385.23	Professional		$826.37	$1,142.68	$1,385.23
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 $673.98 / $989.85 / $1,457.06	Professional		$673.98	$989.85	$1,457.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $771.19 / $1,154.83 / $2,472.00	Professional		$771.19	$1,154.83	$2,472.00
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 $774.50 / $857.87 / $959.09	Professional		$774.50	$857.87	$959.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,084.51	Professional		$32.34	$32.34	$1,084.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,465.00 / $4,780.00	Facility		$1,095.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.21 / $868.93 / $1,497.35	Professional		$629.21	$868.93	$1,497.35