Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,479.11 / $5,623.41	Facility		$562.34	$1,479.11	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $660.69 / $1,513.56	Professional		$323.59	$660.69	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $575.44 / $954.99	Professional		$309.03	$575.44	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,288.25 / $6,456.54	Facility		$954.99	$1,288.25	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $1,122.02	Professional		$416.87	$660.69	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $1,148.15	Professional		$363.08	$676.08	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $977.24 / $1,995.26	Professional		$380.19	$977.24	$1,995.26
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 $416.87 / $446.68 / $912.01	Professional		$416.87	$446.68	$912.01
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 $158.49 / $758.58 / $2,344.23	Facility		$158.49	$758.58	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $1,148.15	Professional		$363.08	$645.65	$1,148.15