Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,235.94 / $14,454.40	Facility		$707.95	$3,235.94	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $891.25 / $3,715.35	Professional		$380.19	$891.25	$3,715.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,778.28 / $2,137.96	Professional		$354.81	$1,778.28	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,120.11 / $10,964.78	Facility		$4,265.80	$9,120.11	$10,964.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,096.48 / $3,801.89	Professional		$501.19	$1,096.48	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,090.30 / $10,232.93	Facility		$1,071.52	$3,090.30	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $851.14 / $3,467.37	Professional		$426.58	$851.14	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $2,951.21 / $5,128.61	Professional		$501.19	$2,951.21	$5,128.61
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 $489.78 / $524.81 / $2,884.03	Professional		$489.78	$524.81	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $2,884.03	Professional		$32.36	$32.36	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,456.54 / $15,488.17	Facility		$2,570.40	$6,456.54	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,202.26 / $2,951.21	Professional		$416.87	$1,202.26	$2,951.21