Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $4,073.80 / $10,000.00	Facility		$549.54	$4,073.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $1,258.93	Professional		$269.15	$380.19	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $257.04 / $371.54	Professional		$251.19	$257.04	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $7,244.36	Facility		$2,454.71	$5,128.61	$7,244.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $660.69	Professional		$346.74	$562.34	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $630.96	Professional		$269.15	$407.38	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $1,905.46	Professional		$302.00	$467.74	$1,905.46
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 / $363.08 / $389.05	Professional		$338.84	$363.08	$389.05
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 $1,288.25 / $3,548.13 / $7,585.78	Facility		$1,288.25	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $630.96	Professional		$295.12	$389.05	$630.96