Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,466.84 / $13,803.84	Facility		$933.25	$4,466.84	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,318.26 / $14,791.08	Professional		$512.86	$1,318.26	$14,791.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $6,165.95	Professional		$489.78	$575.44	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $22,908.68 / $31,622.78	Facility		$6,918.31	$22,908.68	$31,622.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $6,760.83 / $14,125.38	Professional		$575.44	$6,760.83	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,513.56 / $11,748.98	Professional		$549.54	$1,513.56	$11,748.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $7,762.47 / $13,182.57	Professional		$524.81	$7,762.47	$13,182.57
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 $537.03 / $602.56 / $8,709.64	Professional		$537.03	$602.56	$8,709.64
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 / $9,772.37 / $26,302.68	Facility		$2,570.40	$9,772.37	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $6,456.54 / $14,125.38	Professional		$549.54	$6,456.54	$14,125.38