Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.00 / $1,859.84 / $7,407.00	Facility		$389.00	$1,859.84	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.85 / $606.97 / $1,391.55	Professional		$297.85	$606.97	$1,391.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $503.16 / $599.29 / $599.29	Professional		$503.16	$599.29	$599.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,507.25 / $14,193.14	Facility		$3,889.58	$6,507.25	$14,193.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.72 / $1,002.12 / $1,222.22	Professional		$724.72	$1,002.12	$1,222.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,430.33 / $10,111.00	Facility		$709.00	$3,430.33	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.02 / $873.46 / $1,320.19	Professional		$606.02	$873.46	$1,320.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $687.88 / $1,018.92 / $3,695.95	Professional		$687.88	$1,018.92	$3,695.95
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 $704.83 / $756.91 / $841.11	Professional		$704.83	$756.91	$841.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $951.10	Professional		$32.34	$32.34	$951.10
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 $597.41 / $805.91 / $1,382.55	Professional		$597.41	$805.91	$1,382.55