Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,511.89 / $10,000.00	Facility		$489.78	$2,511.89	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $707.95 / $1,778.28	Professional		$186.21	$707.95	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $281.84 / $602.56	Professional		$43.65	$281.84	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $13,182.57	Facility		$4,073.80	$4,897.79	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,230.27	Professional		$724.44	$1,000.00	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $9,772.37 / $10,000.00	Facility		$3,090.30	$9,772.37	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,288.25	Professional		$588.84	$870.96	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,023.29 / $4,786.30	Professional		$645.65	$1,023.29	$4,786.30
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 $707.95 / $758.58 / $831.76	Professional		$707.95	$758.58	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,309.57 / $14,125.38	Facility		$2,570.40	$6,309.57	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,318.26	Professional		$562.34	$758.58	$1,318.26