Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,747.00 / $5,580.00	Facility		$923.00	$2,747.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.61 / $722.32 / $1,175.30	Professional		$620.61	$722.32	$1,175.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $589.41 / $589.41 / $589.41	Professional		$589.41	$589.41	$589.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,903.69 / $8,028.04 / $13,984.03	Facility		$3,903.69	$8,028.04	$13,984.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $822.16 / $985.01 / $1,230.01	Professional		$822.16	$985.01	$1,230.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $5,565.61	Facility		$400.00	$785.00	$5,565.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.59 / $1,005.72 / $1,468.94	Professional		$661.59	$1,005.72	$1,468.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $739.01 / $1,173.33 / $3,337.29	Professional		$739.01	$1,173.33	$3,337.29
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 $767.85 / $871.62 / $979.65	Professional		$767.85	$871.62	$979.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,107.76	Professional		$32.34	$32.34	$1,107.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $6,920.00 / $16,667.00	Facility		$1,400.00	$6,920.00	$16,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.20 / $952.14 / $1,551.15	Professional		$672.20	$952.14	$1,551.15