Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,344.23 / $8,511.38	Facility		$630.96	$2,344.23	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,174.90 / $2,511.89	Professional		$338.84	$1,174.90	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $407.38	Professional		$354.81	$354.81	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,570.88 / $7,943.28	Facility		$2,290.87	$4,570.88	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,230.27 / $2,570.40	Professional		$389.05	$1,230.27	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $758.58 / $2,137.96	Professional		$371.54	$758.58	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,698.24 / $3,630.78	Professional		$354.81	$1,698.24	$3,630.78
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 $354.81 / $398.11 / $1,584.89	Professional		$354.81	$398.11	$1,584.89
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 $1,698.24 / $4,365.16 / $8,912.51	Facility		$1,698.24	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,202.26 / $2,398.83	Professional		$354.81	$1,202.26	$2,398.83