Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.00 / $1,326.00 / $5,389.00	Facility		$538.00	$1,326.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.55 / $520.89 / $795.74	Professional		$346.55	$520.89	$795.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $208.12 / $208.12	Professional		$208.12	$208.12	$208.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,793.40 / $4,907.13 / $10,703.07	Facility		$2,793.40	$4,907.13	$10,703.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.50 / $734.86 / $797.04	Professional		$518.50	$734.86	$797.04
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 $426.39 / $601.78 / $851.95	Professional		$426.39	$601.78	$851.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $406.65 / $675.02 / $1,327.26	Professional		$406.65	$675.02	$1,327.26
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 $548.46 / $553.09 / $601.77	Professional		$548.46	$553.09	$601.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $680.46	Professional		$32.34	$32.34	$680.46
United Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $916.00 / $3,685.00	Facility		$158.00	$916.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.41 / $526.99 / $857.54	Professional		$377.41	$526.99	$857.54