Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.42 / $2,396.67 / $18,455.20	Facility		$868.42	$2,396.67	$18,455.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.20 / $837.89 / $1,632.99	Professional		$538.20	$837.89	$1,632.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $566.41 / $585.26 / $932.60	Professional		$566.41	$585.26	$932.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,001.87 / $13,299.60 / $21,862.58	Facility		$6,001.87	$13,299.60	$21,862.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.24 / $1,152.17 / $1,958.79	Professional		$709.24	$1,152.17	$1,958.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $19,107.56 / $21,331.30	Facility		$709.00	$19,107.56	$21,331.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.85 / $1,035.78 / $1,758.08	Professional		$664.85	$1,035.78	$1,758.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.85 / $1,427.70 / $2,777.73	Professional		$812.85	$1,427.70	$2,777.73
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 $721.98 / $754.79 / $1,337.21	Professional		$721.98	$754.79	$1,337.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,542.75	Professional		$32.34	$32.34	$1,542.75
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 $836.38 / $1,202.07 / $2,263.83	Professional		$836.38	$1,202.07	$2,263.83