Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.35 / $3,073.00 / $9,774.42	Facility		$901.35	$3,073.00	$9,774.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.40 / $875.11 / $1,664.38	Professional		$583.40	$875.11	$1,664.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $563.91 / $563.91 / $611.85	Professional		$563.91	$563.91	$611.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,864.38 / $9,829.73 / $13,850.99	Facility		$5,864.38	$9,829.73	$13,850.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.94 / $1,148.85 / $1,954.12	Professional		$705.94	$1,148.85	$1,954.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $8,711.02 / $9,724.81	Facility		$996.00	$8,711.02	$9,724.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.70 / $1,033.31 / $1,773.74	Professional		$665.70	$1,033.31	$1,773.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $819.31 / $1,435.94 / $3,234.02	Professional		$819.31	$1,435.94	$3,234.02
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 $720.36 / $751.91 / $1,333.37	Professional		$720.36	$751.91	$1,333.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,507.73	Professional		$32.34	$32.34	$1,507.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,995.00	Facility		$1,600.00	$4,530.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $880.00 / $1,209.53 / $2,183.05	Professional		$880.00	$1,209.53	$2,183.05