Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.92 / $2,150.92 / $5,539.51	Facility		$588.92	$2,150.92	$5,539.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $945.75 / $1,948.17	Professional		$319.80	$945.75	$1,948.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.09 / $407.09 / $407.09	Professional		$407.09	$407.09	$407.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,491.25 / $5,062.43 / $9,545.35	Facility		$2,491.25	$5,062.43	$9,545.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.51 / $1,240.58 / $2,546.91	Professional		$389.51	$1,240.58	$2,546.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.25 / $757.25 / $2,151.77	Professional		$366.25	$757.25	$2,151.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $407.09 / $1,631.96 / $3,538.33	Professional		$407.09	$1,631.96	$3,538.33
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 $356.89 / $396.77 / $1,571.52	Professional		$356.89	$396.77	$1,571.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,777.02	Professional		$32.34	$32.34	$1,777.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,296.17 / $1,859.12 / $3,278.00	Professional		$1,296.17	$1,859.12	$3,278.00