Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.31 / $1,715.85 / $7,878.52	Facility		$966.31	$1,715.85	$7,878.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.23 / $4,074.63 / $7,878.52	Professional		$758.23	$4,074.63	$7,878.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $365.57 / $365.57 / $458.98	Professional		$365.57	$365.57	$458.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,551.28 / $13,554.68 / $19,728.29	Facility		$6,551.28	$13,554.68	$19,728.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $621.85 / $2,500.41 / $6,176.06	Professional		$621.85	$2,500.41	$6,176.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.38 / $977.11 / $6,536.62	Professional		$744.38	$977.11	$6,536.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.76 / $3,850.37 / $7,656.12	Professional		$630.76	$3,850.37	$7,656.12
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 $537.73 / $630.76 / $3,810.81	Professional		$537.73	$630.76	$3,810.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,309.14	Professional		$32.34	$32.34	$4,309.14
United Facility/Professional Professional Modifier Low / Median / High Price $3,837.34 / $6,394.15 / $9,653.06	Professional		$3,837.34	$6,394.15	$9,653.06