Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,090.30 / $8,511.38	Facility		$977.24	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,905.46	Professional		$891.25	$1,096.48	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $15,488.17 / $29,512.09	Facility		$5,623.41	$15,488.17	$29,512.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $1,995.26	Professional		$1,148.15	$1,862.09	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $1,995.26	Professional		$851.14	$1,348.96	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $4,168.69	Professional		$954.99	$1,548.82	$4,168.69
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 $1,122.02 / $1,202.26 / $1,288.25	Professional		$1,122.02	$1,202.26	$1,288.25
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 $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,089.30	Professional		$954.99	$1,288.25	$2,089.30