Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,089.30 / $6,760.83	Facility		$512.86	$2,089.30	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $1,047.13	Professional		$263.03	$562.34	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $380.19	Professional		$245.47	$245.47	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $7,079.46	Facility		$2,454.71	$5,128.61	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $616.60 / $1,258.93	Professional		$316.23	$616.60	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $549.54 / $1,023.29	Professional		$281.84	$549.54	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $831.76 / $2,511.89	Professional		$338.84	$831.76	$2,511.89
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 $309.03 / $331.13 / $758.58	Professional		$309.03	$331.13	$758.58
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 $288.40 / $575.44 / $1,318.26	Professional		$288.40	$575.44	$1,318.26