Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.41 / $1,188.82 / $1,580.00	Facility		$622.41	$1,188.82	$1,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.34 / $570.79 / $786.45	Professional		$531.34	$570.79	$786.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $455.43 / $455.43	Professional		$455.43	$455.43	$455.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,024.71 / $3,280.97 / $10,041.19	Facility		$1,024.71	$3,280.97	$10,041.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $523.74 / $584.47	Professional		$3.50	$523.74	$584.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.07 / $1,854.94 / $3,494.85	Facility		$740.07	$1,854.94	$3,494.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $880.98 / $1,164.95	Professional		$500.00	$880.98	$1,164.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $1,195.41 / $4,006.86	Professional		$759.05	$1,195.41	$4,006.86
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 $986.77 / $986.77 / $986.77	Professional		$986.77	$986.77	$986.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $379.53 / $759.05 / $1,115.80	Professional		$379.53	$759.05	$1,115.80
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $796.75	Professional		$318.80	$455.43	$796.75