Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,989.00 / $10,073.00	Facility		$923.00	$2,989.00	$10,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.62 / $619.47 / $1,512.79	Professional		$548.62	$619.47	$1,512.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $754.19 / $866.09 / $866.09	Professional		$754.19	$866.09	$866.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,577.68 / $14,346.76	Facility		$3,889.58	$6,577.68	$14,346.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $734.60 / $1,015.78 / $1,239.53	Professional		$734.60	$1,015.78	$1,239.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.39 / $885.36 / $1,286.30	Professional		$592.39	$885.36	$1,286.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $688.61 / $1,033.35 / $3,200.01	Professional		$688.61	$1,033.35	$3,200.01
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 $720.84 / $767.64 / $852.57	Professional		$720.84	$767.64	$852.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $964.06	Professional		$32.34	$32.34	$964.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $4,342.00 / $8,168.00	Facility		$1,690.00	$4,342.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.14 / $762.50 / $1,317.70	Professional		$561.14	$762.50	$1,317.70