Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,621.81 / $5,623.41	Facility		$512.86	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $1,621.81	Professional		$302.00	$524.81	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $309.03	Professional		$181.97	$194.98	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $6,918.31	Facility		$1,698.24	$2,398.83	$6,918.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $954.99	Professional		$389.05	$602.56	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $912.01	Professional		$331.13	$549.54	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $1,621.81	Professional		$416.87	$758.58	$1,621.81
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 $380.19 / $407.38 / $691.83	Professional		$380.19	$407.38	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $891.25	Professional		$316.23	$501.19	$891.25