Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,785.00 / $6,406.22	Facility		$630.00	$1,785.00	$6,406.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.31 / $575.58 / $1,036.85	Professional		$426.31	$575.58	$1,036.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $386.60 / $403.19 / $577.32	Professional		$386.60	$403.19	$577.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,445.42 / $10,084.59	Facility		$3,878.08	$5,445.42	$10,084.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.72 / $717.27 / $1,164.03	Professional		$518.72	$717.27	$1,164.03
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 $486.25 / $738.89 / $1,081.71	Professional		$486.25	$738.89	$1,081.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $589.17 / $887.23 / $1,907.74	Professional		$589.17	$887.23	$1,907.74
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 $533.17 / $553.29 / $790.01	Professional		$533.17	$553.29	$790.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $908.15	Professional		$32.34	$32.34	$908.15
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 $560.24 / $756.86 / $1,302.45	Professional		$560.24	$756.86	$1,302.45