Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,548.13 / $9,332.54	Facility		$616.60	$3,548.13	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $1,148.15	Professional		$309.03	$467.74	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $9,120.11	Facility		$4,365.16	$5,128.61	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $831.76	Professional		$524.81	$691.83	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $977.24	Professional		$446.68	$645.65	$977.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $2,884.03	Professional		$467.74	$794.33	$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 $562.34 / $602.56 / $676.08	Professional		$562.34	$602.56	$676.08
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 $436.52 / $616.60 / $1,023.29	Professional		$436.52	$616.60	$1,023.29