Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.59 / $2,118.00 / $5,393.00	Facility		$342.59	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $1,592.51 / $2,902.00	Professional		$166.05	$1,592.51	$2,902.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.55 / $1,458.00 / $2,142.73	Professional		$205.55	$1,458.00	$2,142.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,903.56 / $5,107.60 / $9,185.06	Facility		$1,903.56	$5,107.60	$9,185.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.77 / $909.54 / $3,344.06	Professional		$224.77	$909.54	$3,344.06
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 $215.33 / $430.30 / $3,015.70	Professional		$215.33	$430.30	$3,015.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $251.05 / $2,125.46 / $4,464.72	Professional		$251.05	$2,125.46	$4,464.72
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 $200.12 / $229.44 / $2,063.37	Professional		$200.12	$229.44	$2,063.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,333.19	Professional		$32.34	$32.34	$2,333.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,940.80 / $2,867.19 / $4,691.51	Professional		$1,940.80	$2,867.19	$4,691.51