Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.96 / $3,686.00 / $13,811.00	Facility		$832.96	$3,686.00	$13,811.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.29 / $769.25 / $1,552.88	Professional		$527.29	$769.25	$1,552.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.18 / $564.02 / $744.59	Professional		$501.18	$564.02	$744.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,782.33 / $9,829.73 / $13,850.99	Facility		$5,782.33	$9,829.73	$13,850.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.41 / $946.38 / $1,531.90	Professional		$684.41	$946.38	$1,531.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $9,638.15 / $19,446.00	Facility		$875.00	$9,638.15	$19,446.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.14 / $947.08 / $1,431.00	Professional		$619.14	$947.08	$1,431.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $746.24 / $1,131.14 / $2,914.63	Professional		$746.24	$1,131.14	$2,914.63
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 $689.99 / $725.13 / $1,045.10	Professional		$689.99	$725.13	$1,045.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,181.78	Professional		$32.34	$32.34	$1,181.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.39 / $1,020.53 / $1,746.38	Professional		$691.39	$1,020.53	$1,746.38