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 / $15,135.61	Facility		$933.25	$4,466.84	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $794.33 / $2,570.40	Professional		$302.00	$794.33	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $9,772.37	Facility		$4,265.80	$7,762.47	$9,772.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,348.96 / $2,754.23	Professional		$363.08	$1,348.96	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $954.99 / $2,290.87	Professional		$346.74	$954.99	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,819.70 / $4,677.35	Professional		$346.74	$1,819.70	$4,677.35
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 $338.84 / $371.54 / $1,698.24	Professional		$338.84	$371.54	$1,698.24
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 / $15,135.61	Facility		$2,570.40	$6,309.57	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,288.25 / $2,754.23	Professional		$346.74	$1,288.25	$2,754.23