Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.91 / $1,000.00 / $4,634.00	Facility		$519.91	$1,000.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.25 / $485.62 / $920.53	Professional		$322.25	$485.62	$920.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $318.98 / $318.98	Professional		$318.98	$318.98	$318.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,600.02 / $4,675.35 / $8,374.73	Facility		$3,600.02	$4,675.35	$8,374.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.16 / $613.82 / $1,041.68	Professional		$435.16	$613.82	$1,041.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.00 / $615.30 / $945.85	Professional		$393.00	$615.30	$945.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $480.57 / $767.20 / $1,806.53	Professional		$480.57	$767.20	$1,806.53
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 $439.86 / $460.27 / $712.40	Professional		$439.86	$460.27	$712.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $818.82	Professional		$32.34	$32.34	$818.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,951.00 / $7,295.00	Facility		$1,499.00	$3,951.00	$7,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.16 / $648.28 / $1,129.98	Professional		$480.16	$648.28	$1,129.98