Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.45 / $1,972.00 / $10,073.00	Facility		$737.45	$1,972.00	$10,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.94 / $757.41 / $1,503.81	Professional		$469.94	$757.41	$1,503.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $486.91 / $486.91 / $486.91	Professional		$486.91	$486.91	$486.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,878.08 / $5,842.69 / $11,709.90	Facility		$3,878.08	$5,842.69	$11,709.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.99 / $998.88 / $1,703.69	Professional		$605.99	$998.88	$1,703.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,430.33 / $12,465.00	Facility		$709.00	$3,430.33	$12,465.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.05 / $897.40 / $1,533.95	Professional		$568.05	$897.40	$1,533.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $698.47 / $1,248.48 / $2,608.85	Professional		$698.47	$1,248.48	$2,608.85
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 $626.33 / $648.58 / $1,159.30	Professional		$626.33	$648.58	$1,159.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,337.66	Professional		$32.34	$32.34	$1,337.66
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 $743.29 / $1,059.33 / $1,964.67	Professional		$743.29	$1,059.33	$1,964.67