Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.40 / $1,546.31 / $6,455.73	Facility		$866.40	$1,546.31	$6,455.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.27 / $3,854.86 / $6,463.50	Professional		$683.27	$3,854.86	$6,463.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $413.66 / $658.87 / $1,900.16	Professional		$413.66	$658.87	$1,900.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,967.37 / $8,023.56 / $13,734.44	Facility		$4,967.37	$8,023.56	$13,734.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.38 / $2,253.40 / $5,842.95	Professional		$560.38	$2,253.40	$5,842.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.14 / $879.65 / $6,198.27	Professional		$671.14	$879.65	$6,198.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $568.44 / $3,464.36 / $7,242.98	Professional		$568.44	$3,464.36	$7,242.98
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 $485.24 / $568.44 / $3,605.26	Professional		$485.24	$568.44	$3,605.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,076.72	Professional		$32.34	$32.34	$4,076.72
United Facility/Professional Professional Modifier Low / Median / High Price $3,418.79 / $5,309.62 / $8,479.10	Professional		$3,418.79	$5,309.62	$8,479.10