Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,731.00 / $5,091.00	Facility		$600.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.64 / $534.59 / $953.79	Professional		$308.64	$534.59	$953.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $428.51 / $428.51 / $428.51	Professional		$428.51	$428.51	$428.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,063.13 / $3,624.27 / $7,905.00	Facility		$2,063.13	$3,624.27	$7,905.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.26 / $637.80 / $1,072.08	Professional		$407.26	$637.80	$1,072.08
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 $362.76 / $600.37 / $984.03	Professional		$362.76	$600.37	$984.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $455.53 / $797.17 / $1,939.96	Professional		$455.53	$797.17	$1,939.96
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 $403.39 / $425.40 / $740.23	Professional		$403.39	$425.40	$740.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $851.91	Professional		$32.34	$32.34	$851.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.24 / $726.05 / $1,139.77	Professional		$494.24	$726.05	$1,139.77