Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,570.40 / $7,762.47	Facility		$602.56	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $851.14 / $2,398.83	Professional		$331.13	$851.14	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $446.68 / $794.33	Professional		$190.55	$446.68	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,786.30 / $6,760.83	Facility		$2,089.30	$4,786.30	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $933.25 / $1,659.59	Professional		$478.63	$933.25	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $741.31 / $1,621.81	Professional		$346.74	$741.31	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,258.93 / $3,090.30	Professional		$389.05	$1,258.93	$3,090.30
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 $489.78 / $501.19 / $1,258.93	Professional		$489.78	$501.19	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,691.53 / $5,128.61	Facility		$891.25	$2,691.53	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $776.25 / $1,584.89	Professional		$346.74	$776.25	$1,584.89