Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.49 / $1,467.00 / $3,195.56	Facility		$651.49	$1,467.00	$3,195.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.67 / $902.27 / $1,192.01	Professional		$748.67	$902.27	$1,192.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $830.64 / $830.64 / $830.64	Professional		$830.64	$830.64	$830.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $730.10 / $6,027.06 / $14,020.75	Facility		$730.10	$6,027.06	$14,020.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $881.52 / $898.33 / $1,026.66	Professional		$881.52	$898.33	$1,026.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.23 / $995.05 / $1,484.21	Facility		$692.23	$995.05	$1,484.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.44 / $1,254.63 / $1,753.91	Professional		$903.44	$1,254.63	$1,753.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $795.72 / $1,197.77 / $3,968.62	Professional		$795.72	$1,197.77	$3,968.62
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 $954.98 / $985.18 / $1,112.22	Professional		$954.98	$985.18	$1,112.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.97 / $1,011.24 / $1,803.98	Professional		$637.97	$1,011.24	$1,803.98