Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.09 / $3,221.00 / $10,750.00	Facility		$574.09	$3,221.00	$10,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.61 / $744.03 / $2,291.19	Professional		$289.61	$744.03	$2,291.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,109.53 / $1,109.53 / $1,109.53	Professional		$1,109.53	$1,109.53	$1,109.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,783.41 / $7,210.59 / $10,400.91	Facility		$3,783.41	$7,210.59	$10,400.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.48 / $1,334.27 / $2,728.15	Professional		$359.48	$1,334.27	$2,728.15
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 $344.39 / $788.52 / $2,304.89	Professional		$344.39	$788.52	$2,304.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $388.53 / $1,743.09 / $3,920.59	Professional		$388.53	$1,743.09	$3,920.59
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 $336.47 / $372.83 / $1,683.34	Professional		$336.47	$372.83	$1,683.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,903.47	Professional		$32.34	$32.34	$1,903.47
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 $1,510.86 / $2,132.28 / $3,727.69	Professional		$1,510.86	$2,132.28	$3,727.69