Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.95 / $2,576.00 / $7,328.84	Facility		$430.95	$2,576.00	$7,328.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.50 / $448.24 / $3,407.50	Professional		$217.50	$448.24	$3,407.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $200.71 / $200.71	Professional		$200.71	$200.71	$200.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,833.72 / $6,461.10 / $9,185.06	Facility		$2,833.72	$6,461.10	$9,185.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $1,096.76 / $4,011.75	Professional		$266.07	$1,096.76	$4,011.75
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 $255.39 / $584.63 / $3,635.55	Professional		$255.39	$584.63	$3,635.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $297.95 / $2,385.25 / $3,939.43	Professional		$297.95	$2,385.25	$3,939.43
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 $251.45 / $276.67 / $2,475.36	Professional		$251.45	$276.67	$2,475.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,799.06	Professional		$32.34	$32.34	$2,799.06
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 $2,437.17 / $3,676.29 / $5,950.65	Professional		$2,437.17	$3,676.29	$5,950.65