Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.33 / $2,906.00 / $18,583.20	Facility		$682.33	$2,906.00	$18,583.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.68 / $368.59 / $686.06	Professional		$286.68	$368.59	$686.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $152.41 / $152.41	Professional		$152.41	$152.41	$152.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,618.07 / $8,017.32 / $51,779.03	Facility		$3,618.07	$8,017.32	$51,779.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.43 / $557.72 / $638.67	Professional		$430.43	$557.72	$638.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,082.00 / $50,000.00	Facility		$620.00	$3,082.00	$50,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.36 / $531.70 / $783.20	Professional		$367.36	$531.70	$783.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $397.31 / $601.13 / $3,060.85	Professional		$397.31	$601.13	$3,060.85
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 $395.43 / $434.15 / $482.66	Professional		$395.43	$434.15	$482.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $545.78	Professional		$32.34	$32.34	$545.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $11,305.00 / $41,342.00	Facility		$3,500.00	$11,305.00	$41,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.21 / $530.85 / $816.05	Professional		$342.21	$530.85	$816.05