Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,989.00 / $7,030.00	Facility		$923.00	$2,989.00	$7,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.25 / $836.06 / $1,465.98	Professional		$616.25	$836.06	$1,465.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $742.18 / $742.18 / $742.18	Professional		$742.18	$742.18	$742.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,026.29 / $9,791.77 / $19,258.50	Facility		$5,026.29	$9,791.77	$19,258.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.05 / $1,330.18 / $1,474.23	Professional		$1,015.05	$1,330.18	$1,474.23
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 $779.70 / $1,223.38 / $1,714.26	Professional		$779.70	$1,223.38	$1,714.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $877.90 / $1,364.73 / $3,390.93	Professional		$877.90	$1,364.73	$3,390.93
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 $887.84 / $1,037.52 / $1,178.07	Professional		$887.84	$1,037.52	$1,178.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,359.32	Professional		$32.34	$32.34	$1,359.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,612.00 / $15,310.71	Facility		$1,602.00	$7,612.00	$15,310.71
United Facility/Professional Professional Modifier Low / Median / High Price $757.08 / $1,168.38 / $2,162.90	Professional		$757.08	$1,168.38	$2,162.90