Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,118.00 / $5,393.00	Facility		$711.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.87 / $566.41 / $1,068.32	Professional		$518.87	$566.41	$1,068.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $528.69 / $528.69 / $537.72	Professional		$528.69	$528.69	$537.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,290.98 / $13,085.72	Facility		$3,889.58	$6,290.98	$13,085.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.78 / $927.54 / $1,160.40	Professional		$670.78	$927.54	$1,160.40
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 $588.30 / $829.19 / $1,197.57	Professional		$588.30	$829.19	$1,197.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $658.74 / $967.40 / $2,031.93	Professional		$658.74	$967.40	$2,031.93
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 $691.72 / $718.64 / $778.51	Professional		$691.72	$718.64	$778.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $880.31	Professional		$32.34	$32.34	$880.31
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 $545.39 / $745.95 / $1,276.71	Professional		$545.39	$745.95	$1,276.71