Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,137.96 / $7,762.47	Facility		$676.08	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $3,715.35	Professional		$758.58	$1,202.26	$3,715.35
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $69.18 / $363.08 / $724.44	Professional	AS	$69.18	$363.08	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $954.99 / $1,071.52	Professional		$501.19	$954.99	$1,071.52
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $67.61 / $144.54 / $199.53	Professional	AS	$67.61	$144.54	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $16,218.10	Facility		$4,466.84	$5,495.41	$16,218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,862.09	Professional		$1,047.13	$1,288.25	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,041.74	Professional		$891.25	$1,288.25	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,621.81 / $4,168.69	Professional		$933.25	$1,621.81	$4,168.69
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 $1,023.29 / $1,096.48 / $1,479.11	Professional		$1,023.29	$1,096.48	$1,479.11
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 $1,698.24 / $4,365.16 / $9,332.54	Facility		$1,698.24	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,041.74	Professional		$851.14	$1,230.27	$2,041.74