Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,897.79 / $13,182.57	Facility		$812.83	$4,897.79	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,096.48 / $8,128.31	Professional		$316.23	$1,096.48	$8,128.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $275.42 / $5,128.61	Professional		$257.04	$275.42	$5,128.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $14,454.40 / $19,952.62	Facility		$4,570.88	$14,454.40	$19,952.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,584.89 / $8,317.64	Professional		$380.19	$1,584.89	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $758.58 / $7,244.36	Professional		$363.08	$758.58	$7,244.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $5,495.41 / $15,135.61	Professional		$371.54	$5,495.41	$15,135.61
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 / $5,128.61	Professional		$354.81	$398.11	$5,128.61
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 / $9,772.37 / $25,703.96	Facility		$2,570.40	$9,772.37	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $4,365.16 / $9,549.93	Professional		$354.81	$4,365.16	$9,549.93