Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $1,970.18 / $5,389.00	Facility		$264.33	$1,970.18	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $1,495.24 / $2,972.51	Professional		$156.88	$1,495.24	$2,972.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,387.74 / $1,387.74 / $1,387.74	Professional		$1,387.74	$1,387.74	$1,387.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.38 / $2,559.12 / $5,124.63	Facility		$1,196.38	$2,559.12	$5,124.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.34 / $762.43 / $3,422.23	Professional		$188.34	$762.43	$3,422.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $17,512.00 / $17,526.00	Facility		$875.00	$17,512.00	$17,526.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.64 / $482.80 / $3,047.97	Professional		$188.64	$482.80	$3,047.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $2,174.67 / $4,377.24	Professional		$207.13	$2,174.67	$4,377.24
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 $167.45 / $192.34 / $2,111.62	Professional		$167.45	$192.34	$2,111.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,387.75	Professional		$32.34	$32.34	$2,387.75
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 $1,510.35 / $2,537.04 / $3,633.90	Professional		$1,510.35	$2,537.04	$3,633.90