Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.37 / $1,758.00 / $5,389.00	Facility		$681.37	$1,758.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.29 / $620.62 / $1,096.85	Professional		$448.29	$620.62	$1,096.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $539.12 / $539.12 / $539.12	Professional		$539.12	$539.12	$539.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,430.97 / $5,590.41 / $12,193.39	Facility		$3,430.97	$5,590.41	$12,193.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.58 / $866.41 / $1,349.32	Professional		$626.58	$866.41	$1,349.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $2,338.66 / $2,610.83	Facility		$709.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.98 / $867.05 / $1,253.65	Professional		$556.98	$867.05	$1,253.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $671.27 / $1,028.46 / $2,333.21	Professional		$671.27	$1,028.46	$2,333.21
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 $603.20 / $652.30 / $932.83	Professional		$603.20	$652.30	$932.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,054.81	Professional		$32.34	$32.34	$1,054.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $626.05 / $843.43 / $1,470.44	Professional		$626.05	$843.43	$1,470.44