Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.57 / $1,630.00 / $5,389.00	Facility		$455.57	$1,630.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $987.73 / $1,909.01	Professional		$268.77	$987.73	$1,909.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $101.19	Professional		$101.19	$101.19	$101.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.59 / $3,102.88 / $6,213.51	Facility		$1,450.59	$3,102.88	$6,213.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $1,051.24 / $1,626.25	Professional		$333.14	$1,051.24	$1,626.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,519.00 / $17,512.00 / $17,526.00	Facility		$8,519.00	$17,512.00	$17,526.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.45 / $732.60 / $1,940.99	Professional		$297.45	$732.60	$1,940.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $379.54 / $1,474.42 / $2,748.54	Professional		$379.54	$1,474.42	$2,748.54
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 $303.85 / $348.37 / $1,364.43	Professional		$303.85	$348.37	$1,364.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,542.85	Professional		$32.34	$32.34	$1,542.85
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.81 / $1,652.03 / $2,708.76	Professional		$1,074.81	$1,652.03	$2,708.76