Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.53 / $1,363.00 / $5,389.00	Facility		$464.53	$1,363.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.22 / $451.98 / $756.60	Professional		$343.22	$451.98	$756.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $564.14 / $564.14 / $564.14	Professional		$564.14	$564.14	$564.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,030.50 / $7,438.21 / $11,702.45	Facility		$5,030.50	$7,438.21	$11,702.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.81 / $871.88 / $880.43	Professional		$479.81	$871.88	$880.43
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 $419.91 / $589.63 / $909.65	Professional		$419.91	$589.63	$909.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $397.62 / $646.89 / $1,688.26	Professional		$397.62	$646.89	$1,688.26
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 $430.86 / $491.79 / $543.24	Professional		$430.86	$491.79	$543.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $614.28	Professional		$32.34	$32.34	$614.28
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 $404.93 / $601.34 / $974.26	Professional		$404.93	$601.34	$974.26