Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,862.09 / $5,888.44	Facility		$512.86	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $954.99	Professional		$338.84	$467.74	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $7,244.36	Facility		$3,548.13	$4,168.69	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $851.14	Professional		$467.74	$616.60	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $954.99	Professional		$398.11	$575.44	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $1,548.82	Professional		$426.58	$724.44	$1,548.82
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 $457.09 / $489.78 / $691.83	Professional		$457.09	$489.78	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,630.78 / $7,079.46	Facility		$1,584.89	$3,630.78	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $954.99	Professional		$380.19	$549.54	$954.99