Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,370.32 / $13,489.63	Facility		$977.24	$5,370.32	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,862.09 / $10,964.78	Professional		$489.78	$1,862.09	$10,964.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $660.69	Professional		$478.63	$537.03	$660.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,471.29 / $13,182.57	Facility		$5,623.41	$10,471.29	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,479.11 / $10,000.00	Professional		$616.60	$1,479.11	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,230.27 / $9,549.93	Professional		$549.54	$1,230.27	$9,549.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $6,760.83 / $11,748.98	Professional		$676.08	$6,760.83	$11,748.98
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 $588.84 / $645.65 / $6,918.31	Professional		$588.84	$645.65	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $6,918.31	Professional		$32.36	$32.36	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,309.57 / $16,982.44	Facility		$2,570.40	$6,309.57	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $4,786.30 / $11,481.54	Professional		$537.03	$4,786.30	$11,481.54