Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.92 / $1,228.00 / $5,389.00	Facility		$624.92	$1,228.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.77 / $561.04 / $955.18	Professional		$396.77	$561.04	$955.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $498.04 / $498.04 / $498.04	Professional		$498.04	$498.04	$498.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,445.42 / $9,976.96	Facility		$3,878.08	$5,445.42	$9,976.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.17 / $708.22 / $1,173.47	Professional		$512.17	$708.22	$1,173.47
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 $464.98 / $685.88 / $1,074.47	Professional		$464.98	$685.88	$1,074.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $567.27 / $860.20 / $1,725.87	Professional		$567.27	$860.20	$1,725.87
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 $528.85 / $544.57 / $798.76	Professional		$528.85	$544.57	$798.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $903.21	Professional		$32.34	$32.34	$903.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,493.00 / $6,482.00	Facility		$1,600.00	$3,493.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.83 / $706.88 / $1,295.81	Professional		$504.83	$706.88	$1,295.81