Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.00 / $1,678.00 / $5,389.00	Facility		$537.00	$1,678.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.33 / $494.81 / $854.89	Professional		$254.33	$494.81	$854.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.30 / $235.63 / $355.36	Professional		$228.30	$235.63	$355.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,602.29 / $4,464.57 / $6,290.98	Facility		$2,602.29	$4,464.57	$6,290.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.18 / $431.90 / $742.92	Professional		$302.18	$431.90	$742.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.27 / $561.13 / $1,066.46	Professional		$304.27	$561.13	$1,066.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $601.66 / $1,678.82	Professional		$350.94	$601.66	$1,678.82
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 $305.60 / $325.87 / $501.27	Professional		$305.60	$325.87	$501.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $566.82	Professional		$32.34	$32.34	$566.82
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 $605.03 / $883.83 / $1,527.70	Professional		$605.03	$883.83	$1,527.70