Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.36 / $1,777.98 / $7,643.18	Facility		$727.36	$1,777.98	$7,643.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.84 / $714.24 / $1,291.54	Professional		$464.84	$714.24	$1,291.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.73 / $281.73 / $494.55	Professional		$281.73	$281.73	$494.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,018.97 / $9,457.39 / $13,052.61	Facility		$5,018.97	$9,457.39	$13,052.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.61 / $946.79 / $1,610.08	Professional		$600.61	$946.79	$1,610.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $8,624.37 / $9,628.07	Facility		$709.00	$8,624.37	$9,628.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.01 / $857.92 / $1,473.53	Professional		$563.01	$857.92	$1,473.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $681.13 / $1,165.00 / $2,474.11	Professional		$681.13	$1,165.00	$2,474.11
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 $612.07 / $638.94 / $1,098.84	Professional		$612.07	$638.94	$1,098.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,242.55	Professional		$32.34	$32.34	$1,242.55
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 $698.05 / $976.37 / $1,834.08	Professional		$698.05	$976.37	$1,834.08