Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.58 / $2,065.09 / $5,549.00	Facility		$630.58	$2,065.09	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.05 / $1,498.60 / $3,133.15	Professional		$320.05	$1,498.60	$3,133.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.08 / $253.08 / $320.31	Professional		$253.08	$253.08	$320.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.30 / $3,838.08 / $7,685.75	Facility		$1,794.30	$3,838.08	$7,685.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.97 / $1,725.23 / $2,817.52	Professional		$419.97	$1,725.23	$2,817.52
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 $360.40 / $988.51 / $3,288.26	Professional		$360.40	$988.51	$3,288.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $468.69 / $2,552.62 / $4,410.83	Professional		$468.69	$2,552.62	$4,410.83
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 $373.10 / $435.21 / $2,370.29	Professional		$373.10	$435.21	$2,370.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,680.25	Professional		$32.34	$32.34	$2,680.25
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 $487.44 / $2,587.65 / $4,086.05	Professional		$487.44	$2,587.65	$4,086.05