Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.44 / $1,882.66 / $9,222.62	Facility		$1,061.44	$1,882.66	$9,222.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.94 / $5,434.69 / $9,222.62	Professional		$830.94	$5,434.69	$9,222.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $503.51 / $777.52 / $5,397.74	Professional		$503.51	$777.52	$5,397.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,184.10 / $13,691.77 / $20,333.22	Facility		$7,184.10	$13,691.77	$20,333.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.48 / $2,743.51 / $8,237.57	Professional		$681.48	$2,743.51	$8,237.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.98 / $1,072.77 / $8,815.21	Professional		$818.98	$1,072.77	$8,815.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $692.08 / $4,802.50 / $7,819.70	Professional		$692.08	$4,802.50	$7,819.70
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 $591.54 / $692.08 / $5,082.81	Professional		$591.54	$692.08	$5,082.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,747.48	Professional		$32.34	$32.34	$5,747.48
United Facility/Professional Professional Modifier Low / Median / High Price $5,062.50 / $7,652.25 / $12,204.17	Professional		$5,062.50	$7,652.25	$12,204.17