Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,897.79 / $10,964.78	Facility		$933.25	$4,897.79	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,698.24 / $6,760.83	Professional		$169.82	$1,698.24	$6,760.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $8,709.64 / $12,022.64	Facility		$7,585.78	$8,709.64	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$199.53	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $2,511.89	Professional		$1,513.56	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,370.32 / $12,302.69	Facility		$1,905.46	$5,370.32	$12,302.69