Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,344.23 / $8,128.31	Facility		$851.14	$2,344.23	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $2,041.74	Professional		$691.83	$977.24	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $870.96	Professional		$457.09	$457.09	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $14,454.40	Facility		$2,630.27	$3,235.94	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,584.89	Professional		$933.25	$1,122.02	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,737.80	Professional		$691.83	$1,096.48	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $3,235.94	Professional		$812.83	$1,318.26	$3,235.94
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 $954.99 / $1,000.00 / $1,258.93	Professional		$954.99	$1,000.00	$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 $758.58 / $1,023.29 / $1,778.28	Professional		$758.58	$1,023.29	$1,778.28