Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.83 / $1,848.00 / $5,389.00	Facility		$293.83	$1,848.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $1,360.38 / $2,357.21	Professional		$156.66	$1,360.38	$2,357.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,288.09 / $1,288.09 / $1,288.09	Professional		$1,288.09	$1,288.09	$1,288.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,338.96 / $2,616.16 / $4,697.66	Facility		$1,338.96	$2,616.16	$4,697.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.22 / $770.47 / $3,065.73	Professional		$190.22	$770.47	$3,065.73
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 $180.44 / $394.62 / $2,431.64	Professional		$180.44	$394.62	$2,431.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.63 / $1,725.23 / $3,621.46	Professional		$212.63	$1,725.23	$3,621.46
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 $169.51 / $194.36 / $1,674.53	Professional		$169.51	$194.36	$1,674.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,893.51	Professional		$32.34	$32.34	$1,893.51
United Facility/Professional Facility Modifier Low / Median / High Price $897.00 / $2,435.00 / $4,780.00	Facility		$897.00	$2,435.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,668.03 / $2,359.23 / $4,137.53	Professional		$1,668.03	$2,359.23	$4,137.53