Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,630.27 / $8,511.38	Facility		$630.96	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,412.54 / $3,467.37	Professional		$323.59	$1,412.54	$3,467.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $302.00	Professional		$125.89	$125.89	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,801.89 / $7,413.10	Facility		$1,412.54	$3,801.89	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,819.70 / $2,754.23	Professional		$416.87	$1,819.70	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $17,378.01 / $17,378.01	Facility		$575.44	$17,378.01	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,047.13 / $3,388.44	Professional		$354.81	$1,047.13	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,570.40 / $4,365.16	Professional		$457.09	$2,570.40	$4,365.16
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 $371.54 / $436.52 / $2,344.23	Professional		$371.54	$436.52	$2,344.23
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 $151.36 / $851.14 / $2,630.27	Facility		$151.36	$851.14	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,258.93 / $3,467.37	Professional		$346.74	$1,258.93	$3,467.37