Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,466.84 / $14,791.08	Facility		$1,023.29	$4,466.84	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,445.44 / $3,801.89	Professional		$457.09	$1,445.44	$3,801.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $22,908.68 / $31,622.78	Facility		$6,309.57	$22,908.68	$31,622.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,698.24 / $3,467.37	Professional		$524.81	$1,698.24	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,023.29 / $3,090.30	Professional		$501.19	$1,023.29	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $2,344.23 / $5,888.44	Professional		$489.78	$2,344.23	$5,888.44
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 $478.63 / $549.54 / $2,137.96	Professional		$478.63	$549.54	$2,137.96
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 / $7,943.28 / $16,982.44	Facility		$2,570.40	$7,943.28	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,698.24 / $4,073.80	Professional		$512.86	$1,698.24	$4,073.80