Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,011.87 / $11,481.54	Facility		$1,148.15	$5,011.87	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $2,137.96	Professional		$645.65	$870.96	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $588.84 / $1,778.28	Professional		$151.36	$588.84	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $17,378.01	Facility		$3,890.45	$4,786.30	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,513.56 / $1,548.82	Professional		$831.76	$1,513.56	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,380.38	Professional		$660.69	$1,023.29	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $3,090.30	Professional		$645.65	$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 $724.44 / $851.14 / $954.99	Professional		$724.44	$851.14	$954.99
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 $676.08 / $933.25 / $1,548.82	Professional		$676.08	$933.25	$1,548.82