Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,862.09 / $5,888.44	Facility		$501.19	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,258.93	Professional		$331.13	$524.81	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $8,128.31	Facility		$3,548.13	$4,265.80	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $977.24	Professional		$446.68	$616.60	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $912.01	Professional		$389.05	$602.56	$912.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $1,862.09	Professional		$478.63	$794.33	$1,862.09
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 $426.58 / $467.74 / $676.08	Professional		$426.58	$467.74	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $5,128.61	Facility		$1,096.48	$2,398.83	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $933.25	Professional		$371.54	$562.34	$933.25