Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.17 / $2,655.42 / $7,941.00	Facility		$681.17	$2,655.42	$7,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.87 / $817.34 / $2,850.76	Professional		$400.87	$817.34	$2,850.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $694.19 / $694.19 / $694.19	Professional		$694.19	$694.19	$694.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,042.93 / $10,945.48 / $19,269.27	Facility		$5,042.93	$10,945.48	$19,269.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.38 / $1,669.66 / $3,416.40	Professional		$480.38	$1,669.66	$3,416.40
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 $457.86 / $948.22 / $3,480.98	Professional		$457.86	$948.22	$3,480.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $502.06 / $2,163.08 / $4,757.72	Professional		$502.06	$2,163.08	$4,757.72
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 $444.63 / $496.02 / $2,108.02	Professional		$444.63	$496.02	$2,108.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,383.67	Professional		$32.34	$32.34	$2,383.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,986.57 / $2,996.59 / $4,780.07	Professional		$1,986.57	$2,996.59	$4,780.07