Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,011.87 / $10,000.00	Facility		$912.01	$5,011.87	$10,000.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $0.23 / $0.23 / $0.23	Facility	22	$0.23	$0.23	$0.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $2,344.23	Professional		$562.34	$954.99	$2,344.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $630.96 / $912.01	Professional		$323.59	$630.96	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $13,489.63	Facility		$3,311.31	$4,897.79	$13,489.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,230.27	Professional		$794.33	$1,148.15	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $912.01 / $1,318.26	Professional		$501.19	$912.01	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $3,090.30	Professional		$616.60	$1,047.13	$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 $794.33 / $812.83 / $912.01	Professional		$794.33	$812.83	$912.01
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 $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,380.38	Professional		$602.56	$776.25	$1,380.38