Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,884.03 / $8,709.64	Facility		$630.96	$2,884.03	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,174.90 / $3,467.37	Professional		$380.19	$1,174.90	$3,467.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $489.78	Professional		$380.19	$389.05	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,570.88 / $8,709.64	Facility		$2,290.87	$4,570.88	$8,709.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,479.11 / $3,019.95	Professional		$416.87	$1,479.11	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,122.02 / $2,570.40	Professional		$398.11	$1,122.02	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,995.26 / $3,890.45	Professional		$380.19	$1,995.26	$3,890.45
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 $398.11 / $436.52 / $1,862.09	Professional		$398.11	$436.52	$1,862.09
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 $1,584.89 / $4,365.16 / $8,912.51	Facility		$1,584.89	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,412.54 / $3,019.95	Professional		$407.38	$1,412.54	$3,019.95