Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,691.53 / $8,317.64	Facility		$645.65	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $2,137.96	Professional		$602.56	$831.76	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $660.69 / $794.33	Professional		$645.65	$660.69	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $12,022.64	Facility		$2,630.27	$3,235.94	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,318.26	Professional		$776.25	$933.25	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,479.11	Professional		$645.65	$933.25	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $2,754.23	Professional		$707.95	$1,122.02	$2,754.23
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 $794.33 / $831.76 / $1,047.13	Professional		$794.33	$831.76	$1,047.13
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 $630.96 / $870.96 / $1,479.11	Professional		$630.96	$870.96	$1,479.11