Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $3,335.00 / $12,337.00	Facility		$825.00	$3,335.00	$12,337.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.54 / $4,800.72 / $9,780.62	Professional		$445.54	$4,800.72	$9,780.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $617.66 / $617.66 / $617.66	Professional		$617.66	$617.66	$617.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,883.39 / $9,308.45 / $13,031.84	Facility		$4,883.39	$9,308.45	$13,031.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.54 / $1,660.87 / $10,015.53	Professional		$576.54	$1,660.87	$10,015.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.98 / $1,181.47 / $9,513.39	Professional		$530.98	$1,181.47	$9,513.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $657.76 / $6,679.74 / $10,337.28	Professional		$657.76	$6,679.74	$10,337.28
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 $549.20 / $605.04 / $6,947.98	Professional		$549.20	$605.04	$6,947.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $7,856.56	Professional		$32.34	$32.34	$7,856.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,117.41 / $8,882.89 / $14,128.50	Professional		$6,117.41	$8,882.89	$14,128.50