Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.30 / $1,933.00 / $7,723.00	Facility		$608.30	$1,933.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.18 / $435.36 / $1,086.17	Professional		$367.18	$435.36	$1,086.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $513.96 / $513.96 / $513.96	Professional		$513.96	$513.96	$513.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,144.98 / $4,667.39 / $10,180.17	Facility		$2,144.98	$4,667.39	$10,180.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.36 / $723.69 / $876.53	Professional		$523.36	$723.69	$876.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,378.17 / $1,538.56	Facility		$875.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.73 / $626.35 / $921.94	Professional		$425.73	$626.35	$921.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.84 / $730.75 / $1,619.02	Professional		$489.84	$730.75	$1,619.02
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 $492.95 / $542.84 / $607.41	Professional		$492.95	$542.84	$607.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $686.84	Professional		$32.34	$32.34	$686.84
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 $409.66 / $553.84 / $938.55	Professional		$409.66	$553.84	$938.55