Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.63 / $1,972.00 / $7,457.12	Facility		$613.63	$1,972.00	$7,457.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.44 / $435.18 / $1,098.76	Professional		$368.44	$435.18	$1,098.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.33 / $630.33 / $630.33	Professional		$630.33	$630.33	$630.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,420.83 / $5,079.08 / $10,165.27	Facility		$3,420.83	$5,079.08	$10,165.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.99 / $723.17 / $875.91	Professional		$522.99	$723.17	$875.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,338.66 / $2,610.83	Facility		$875.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.41 / $625.91 / $921.11	Professional		$424.41	$625.91	$921.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.46 / $730.22 / $1,677.25	Professional		$489.46	$730.22	$1,677.25
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 $492.54 / $542.45 / $606.98	Professional		$492.54	$542.45	$606.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $686.36	Professional		$32.34	$32.34	$686.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.99 / $559.22 / $936.40	Professional		$409.99	$559.22	$936.40