Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.15 / $5,016.99 / $21,005.71	Facility		$156.15	$5,016.99	$21,005.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $177.32 / $6,676.25	Professional		$84.81	$177.32	$6,676.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,334.00 / $3,334.00 / $3,334.00	Professional		$3,334.00	$3,334.00	$3,334.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $789.15 / $1,810.19 / $14,062.09	Facility		$789.15	$1,810.19	$14,062.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.30 / $252.67 / $6,028.69	Professional		$106.30	$252.67	$6,028.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $12,731.00 / $28,989.00	Facility		$875.00	$12,731.00	$28,989.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.43 / $282.70 / $7,414.26	Professional		$105.43	$282.70	$7,414.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.61 / $4,870.82 / $10,252.84	Professional		$124.61	$4,870.82	$10,252.84
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 $97.38 / $111.50 / $5,072.91	Professional		$97.38	$111.50	$5,072.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,736.29	Professional		$32.34	$32.34	$5,736.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $8,691.00 / $21,718.08	Facility		$2,276.00	$8,691.00	$21,718.08
United Facility/Professional Professional Modifier Low / Median / High Price $5,101.00 / $7,289.98 / $12,414.55	Professional		$5,101.00	$7,289.98	$12,414.55