Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,609.00 / $5,091.00	Facility		$755.00	$1,609.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.69 / $779.79 / $1,253.80	Professional		$549.69	$779.79	$1,253.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $713.24 / $713.24 / $713.24	Professional		$713.24	$713.24	$713.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,088.53 / $5,775.88 / $12,597.93	Facility		$3,088.53	$5,775.88	$12,597.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.39 / $974.93 / $1,285.92	Professional		$628.39	$974.93	$1,285.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.59 / $825.67 / $1,327.25	Professional		$536.59	$825.67	$1,327.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $552.95 / $983.75 / $2,182.52	Professional		$552.95	$983.75	$2,182.52
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 $662.90 / $670.87 / $969.35	Professional		$662.90	$670.87	$969.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,096.10	Professional		$32.34	$32.34	$1,096.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.72 / $925.04 / $1,599.30	Professional		$700.72	$925.04	$1,599.30