Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,737.80 / $5,888.44	Facility		$645.65	$1,737.80	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,621.81	Professional		$467.74	$741.31	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $758.58	Professional		$467.74	$467.74	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $10,232.93	Facility		$4,073.80	$4,897.79	$10,232.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,380.38	Professional		$575.44	$794.33	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,258.93	Professional		$524.81	$794.33	$1,258.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $2,454.71	Professional		$630.96	$1,047.13	$2,454.71
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 $588.84 / $616.60 / $933.25	Professional		$588.84	$616.60	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,288.25	Professional		$512.86	$776.25	$1,288.25