Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,884.03 / $9,332.54	Facility		$954.99	$2,884.03	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,348.96	Professional		$457.09	$588.84	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $11,481.54	Facility		$4,073.80	$4,897.79	$11,481.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,047.13	Professional		$630.96	$870.96	$1,047.13
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 $478.63 / $724.44 / $1,071.52	Professional		$478.63	$724.44	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $3,388.44	Professional		$549.54	$891.25	$3,388.44
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 $602.56 / $660.69 / $724.44	Professional		$602.56	$660.69	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,165.95 / $14,125.38	Facility		$2,570.40	$6,165.95	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,071.52	Professional		$467.74	$616.60	$1,071.52