Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,884.03 / $8,709.64	Facility		$691.83	$2,884.03	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $1,778.28	Professional		$380.19	$588.84	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $426.58 / $575.44	Professional		$204.17	$426.58	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $9,549.93	Facility		$3,548.13	$4,365.16	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $870.96	Professional		$524.81	$724.44	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $891.25	Professional		$407.38	$602.56	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,862.09	Professional		$457.09	$794.33	$1,862.09
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 $489.78 / $537.03 / $602.56	Professional		$489.78	$537.03	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,548.13 / $6,918.31	Facility		$1,412.54	$3,548.13	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $891.25	Professional		$389.05	$512.86	$891.25