Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,090.30 / $9,772.37	Facility		$691.83	$3,090.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $851.14	Professional		$363.08	$457.09	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $8,317.64	Facility		$2,454.71	$5,128.61	$8,317.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $776.25	Professional		$467.74	$707.95	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $776.25	Professional		$346.74	$537.03	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $630.96 / $1,698.24	Professional		$371.54	$630.96	$1,698.24
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 $446.68 / $478.63 / $512.86	Professional		$446.68	$478.63	$512.86
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 $891.25 / $2,818.38 / $5,128.61	Facility		$891.25	$2,818.38	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $812.83	Professional		$380.19	$501.19	$812.83