Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,486.00 / $5,389.00	Facility		$755.00	$1,486.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.07 / $743.00 / $1,218.64	Professional		$491.07	$743.00	$1,218.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $462.73 / $462.73 / $462.73	Professional		$462.73	$462.73	$462.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,932.27 / $5,151.07 / $11,235.14	Facility		$2,932.27	$5,151.07	$11,235.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.29 / $867.86 / $1,193.33	Professional		$558.29	$867.86	$1,193.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.91 / $747.63 / $1,219.08	Professional		$509.91	$747.63	$1,219.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $505.32 / $913.20 / $2,098.92	Professional		$505.32	$913.20	$2,098.92
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 $588.91 / $597.17 / $899.17	Professional		$588.91	$597.17	$899.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,016.75	Professional		$32.34	$32.34	$1,016.75
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $658.27 / $836.00 / $1,466.06	Professional		$658.27	$836.00	$1,466.06