Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.45 / $2,326.92 / $10,099.00	Facility		$529.45	$2,326.92	$10,099.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $80.66 / $275.51 / $465.38	Facility	53	$80.66	$275.51	$465.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.47 / $669.69 / $3,056.22	Professional		$364.47	$669.69	$3,056.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $378.65 / $378.65 / $378.65	Professional		$378.65	$378.65	$378.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,958.90 / $7,867.49 / $11,767.03	Facility		$3,958.90	$7,867.49	$11,767.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.07 / $1,346.67 / $3,772.65	Professional		$505.07	$1,346.67	$3,772.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,082.00 / $10,223.00	Facility		$620.00	$3,082.00	$10,223.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.84 / $827.75 / $3,517.95	Professional		$429.84	$827.75	$3,517.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $532.46 / $2,858.34 / $5,008.56	Professional		$532.46	$2,858.34	$5,008.56
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 $493.57 / $521.24 / $2,858.34	Professional		$493.57	$521.24	$2,858.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,232.12	Professional		$32.34	$32.34	$3,232.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,424.96 / $2,221.62 / $3,963.40	Professional		$1,424.96	$2,221.62	$3,963.40