Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,466.84 / $13,489.63	Facility		$1,071.52	$4,466.84	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $2,570.40	Professional		$645.65	$831.76	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,709.64 / $14,454.40	Facility		$4,265.80	$8,709.64	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,348.96	Professional		$812.83	$1,230.27	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,380.38	Professional		$602.56	$933.25	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $3,235.94	Professional		$676.08	$1,071.52	$3,235.94
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 $776.25 / $831.76 / $891.25	Professional		$776.25	$831.76	$891.25
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 $2,570.40 / $6,456.54 / $15,488.17	Facility		$2,570.40	$6,456.54	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,445.44	Professional		$660.69	$891.25	$1,445.44