Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,630.27 / $7,762.47	Facility		$512.86	$2,630.27	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $1,698.24 / $3,630.78	Professional		$186.21	$1,698.24	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,621.81 / $2,290.87	Professional		$213.80	$1,621.81	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $7,079.46 / $9,549.93	Facility		$2,290.87	$7,079.46	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $912.01 / $3,311.31	Professional		$223.87	$912.01	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $426.58 / $2,818.38	Professional		$223.87	$426.58	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $2,187.76 / $5,370.32	Professional		$239.88	$2,187.76	$5,370.32
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 $199.53 / $229.09 / $2,041.74	Professional		$199.53	$229.09	$2,041.74
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 $2,570.40 / $6,309.57 / $14,791.08	Facility		$2,570.40	$6,309.57	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,621.81 / $3,630.78	Professional		$204.17	$1,621.81	$3,630.78