Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.17 / $1,068.17 / $3,733.83	Facility		$611.17	$1,068.17	$3,733.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.60 / $680.59 / $1,721.98	Professional		$580.60	$680.59	$1,721.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $474.52 / $507.71 / $681.69	Professional		$474.52	$507.71	$681.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,515.20 / $3,931.29 / $16,527.98	Facility		$1,515.20	$3,931.29	$16,527.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.23 / $1,292.86 / $1,522.70	Professional		$835.23	$1,292.86	$1,522.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39,621.00 / $39,621.00 / $39,621.00	Facility		$39,621.00	$39,621.00	$39,621.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.91 / $870.01 / $1,361.25	Professional		$604.91	$870.01	$1,361.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $667.41 / $1,067.85 / $3,581.36	Professional		$667.41	$1,067.85	$3,581.36
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 $780.36 / $808.35 / $867.63	Professional		$780.36	$808.35	$867.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $981.09	Professional		$32.34	$32.34	$981.09
United Facility/Professional Professional Modifier Low / Median / High Price $634.44 / $849.36 / $1,302.98	Professional		$634.44	$849.36	$1,302.98