Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,090.30 / $8,511.38	Facility		$933.25	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,698.24	Professional		$758.58	$912.01	$1,698.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $562.34	Professional		$75.86	$75.86	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $19,498.45	Facility		$3,890.45	$4,786.30	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $1,819.70	Professional		$954.99	$1,479.11	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,621.81	Professional		$741.31	$1,148.15	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $3,890.45	Professional		$660.69	$1,202.26	$3,890.45
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 $812.83 / $954.99 / $1,071.52	Professional		$812.83	$954.99	$1,071.52
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 $1,698.24 / $4,365.16 / $8,912.51	Facility		$1,698.24	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,737.80	Professional		$776.25	$1,148.15	$1,737.80