Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $9,772.37	Facility		$1,023.29	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,548.82	Professional		$575.44	$691.83	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $8,511.38 / $13,803.84	Facility		$6,760.83	$8,511.38	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,288.25	Professional		$758.58	$1,047.13	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,318.26	Professional		$602.56	$891.25	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $3,801.89	Professional		$676.08	$1,071.52	$3,801.89
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 $758.58 / $794.33 / $870.96	Professional		$758.58	$794.33	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $660.69	Professional		$32.36	$33.11	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $12,302.69	Facility		$2,137.96	$5,248.07	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,348.96	Professional		$588.84	$794.33	$1,348.96