Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,137.96 / $7,762.47	Facility		$645.65	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,548.82	Professional		$489.78	$691.83	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $602.56	Professional		$467.74	$588.84	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $10,471.29	Facility		$2,630.27	$3,235.94	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,202.26	Professional		$676.08	$831.76	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,318.26	Professional		$512.86	$812.83	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $2,089.30	Professional		$602.56	$1,000.00	$2,089.30
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 $676.08 / $707.95 / $954.99	Professional		$676.08	$707.95	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $4,897.79	Facility		$1,174.90	$2,290.87	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,288.25	Professional		$537.03	$758.58	$1,288.25