Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,118.00 / $5,389.00	Facility		$755.00	$2,118.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.77 / $588.74 / $1,129.72	Professional		$487.77	$588.74	$1,129.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.98 / $369.98 / $369.98	Professional		$369.98	$369.98	$369.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,311.79 / $13,766.83	Facility		$3,889.58	$6,311.79	$13,766.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.69 / $974.43 / $1,185.71	Professional		$704.69	$974.43	$1,185.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.05 / $849.32 / $1,224.31	Professional		$576.05	$849.32	$1,224.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.59 / $965.91 / $2,482.86	Professional		$660.59	$965.91	$2,482.86
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 $683.68 / $734.32 / $817.87	Professional		$683.68	$734.32	$817.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $924.82	Professional		$32.34	$32.34	$924.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $6,154.00 / $14,468.00	Facility		$2,600.00	$6,154.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $538.97 / $729.77 / $1,263.94	Professional		$538.97	$729.77	$1,263.94