Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,090.30 / $8,511.38	Facility		$933.25	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,621.81	Professional		$645.65	$794.33	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $18,197.01 / $22,387.21	Facility		$8,128.31	$18,197.01	$22,387.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,584.89	Professional		$933.25	$1,288.25	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,548.82	Professional		$707.95	$1,071.52	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $3,235.94	Professional		$831.76	$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 $912.01 / $977.24 / $1,096.48	Professional		$912.01	$977.24	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $831.76	Professional		$32.36	$33.11	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,244.36 / $16,982.44	Facility		$1,778.28	$7,244.36	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,548.82	Professional		$676.08	$891.25	$1,548.82