Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,344.23 / $8,511.38	Facility		$707.95	$2,344.23	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $2,344.23	Professional		$691.83	$977.24	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $794.33	Professional		$758.58	$758.58	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $13,803.84	Facility		$2,630.27	$3,235.94	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,584.89	Professional		$891.25	$1,071.52	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,778.28	Professional		$776.25	$1,096.48	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $2,884.03	Professional		$812.83	$1,318.26	$2,884.03
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 $912.01 / $954.99 / $1,258.93	Professional		$912.01	$954.99	$1,258.93
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 $741.31 / $1,047.13 / $1,737.80	Professional		$741.31	$1,047.13	$1,737.80