Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,235.94 / $10,000.00	Facility		$724.44	$3,235.94	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $1,905.46	Professional		$436.52	$588.84	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $575.44	Professional		$389.05	$478.63	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,128.61 / $11,220.18	Facility		$2,754.23	$5,128.61	$11,220.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,096.48	Professional		$575.44	$912.01	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,047.13	Professional		$426.58	$676.08	$1,047.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $2,454.71	Professional		$478.63	$776.25	$2,454.71
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 $549.54 / $588.84 / $645.65	Professional		$549.54	$588.84	$645.65
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 $489.78 / $645.65 / $1,023.29	Professional		$489.78	$645.65	$1,023.29