Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,187.76 / $5,888.44	Facility		$977.24	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $1,348.96	Professional		$501.19	$630.96	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $13,182.57	Facility		$4,073.80	$4,897.79	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,230.27	Professional		$724.44	$1,000.00	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,230.27	Professional		$562.34	$851.14	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,071.52 / $2,630.27	Professional		$645.65	$1,071.52	$2,630.27
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 $707.95 / $758.58 / $831.76	Professional		$707.95	$758.58	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,258.93	Professional		$537.03	$724.44	$1,258.93