Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,570.40 / $8,128.31	Facility		$812.83	$2,570.40	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,862.09	Professional		$602.56	$831.76	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $812.83	Professional		$588.84	$645.65	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $12,882.50	Facility		$4,466.84	$5,370.32	$12,882.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,445.44	Professional		$831.76	$1,000.00	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,621.81	Professional		$707.95	$1,000.00	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $3,981.07	Professional		$741.31	$1,202.26	$3,981.07
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 $812.83 / $870.96 / $1,148.15	Professional		$812.83	$870.96	$1,148.15
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 $1,862.09 / $4,365.16 / $9,332.54	Facility		$1,862.09	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,621.81	Professional		$676.08	$977.24	$1,621.81