Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,305.00 / $5,389.00	Facility		$600.00	$1,305.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.43 / $673.82 / $1,280.35	Professional		$471.43	$673.82	$1,280.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.52 / $214.52 / $214.52	Professional		$214.52	$214.52	$214.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,527.94 / $11,063.61	Facility		$3,878.08	$5,527.94	$11,063.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.79 / $798.51 / $1,365.03	Professional		$572.79	$798.51	$1,365.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.32 / $800.98 / $1,268.94	Professional		$538.32	$800.98	$1,268.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $658.87 / $998.05 / $2,220.46	Professional		$658.87	$998.05	$2,220.46
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 $592.24 / $611.80 / $926.76	Professional		$592.24	$611.80	$926.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,047.95	Professional		$32.34	$32.34	$1,047.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.92 / $932.16 / $1,543.73	Professional		$682.92	$932.16	$1,543.73