Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,995.26 / $7,762.47	Facility		$741.31	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $891.25	Professional		$354.81	$467.74	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $407.38	Professional		$239.88	$239.88	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $8,128.31 / $11,220.18	Facility		$5,754.40	$8,128.31	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $870.96	Professional		$478.63	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $831.76	Professional		$416.87	$588.84	$831.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $1,995.26	Professional		$363.08	$645.65	$1,995.26
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 $426.58 / $489.78 / $537.03	Professional		$426.58	$489.78	$537.03
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 / $6,309.57 / $14,791.08	Facility		$2,570.40	$6,309.57	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $891.25	Professional		$407.38	$602.56	$891.25