Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.17 / $1,848.00 / $5,091.00	Facility		$231.17	$1,848.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.48 / $1,343.94 / $2,400.00	Professional		$122.48	$1,343.94	$2,400.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,046.39 / $1,046.39 / $1,225.00	Professional		$1,046.39	$1,046.39	$1,225.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,569.59 / $1,569.59 / $1,569.59	Professional	50	$1,569.59	$1,569.59	$1,569.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,338.96 / $2,421.67 / $3,632.36	Facility		$1,338.96	$2,421.67	$3,632.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.21 / $1,255.24 / $2,914.03	Professional		$151.21	$1,255.24	$2,914.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $310.48 / $2,327.51	Professional		$144.86	$310.48	$2,327.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.20 / $1,639.85 / $3,436.01	Professional		$171.20	$1,639.85	$3,436.01
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 $133.81 / $154.12 / $1,592.50	Professional		$133.81	$154.12	$1,592.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,800.75	Professional		$32.34	$32.34	$1,800.75
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,504.04 / $2,173.77 / $3,729.42	Professional		$1,504.04	$2,173.77	$3,729.42