Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,467.37 / $14,791.08	Facility		$691.83	$3,467.37	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,258.93 / $3,890.45	Professional		$426.58	$1,258.93	$3,890.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $371.54 / $512.86	Professional		$177.83	$371.54	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $14,791.08 / $19,952.62	Facility		$5,754.40	$14,791.08	$19,952.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,659.59 / $3,388.44	Professional		$478.63	$1,659.59	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $933.25 / $3,019.95	Professional		$457.09	$933.25	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $2,187.76 / $4,897.79	Professional		$436.52	$2,187.76	$4,897.79
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 $446.68 / $501.19 / $2,089.30	Professional		$446.68	$501.19	$2,089.30
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 $457.09 / $1,659.59 / $3,981.07	Professional		$457.09	$1,659.59	$3,981.07