Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $8,128.31	Facility		$1,023.29	$2,884.03	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $2,238.72	Professional		$660.69	$891.25	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,964.78 / $21,379.62	Facility		$4,073.80	$10,964.78	$21,379.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,513.56	Professional		$1,047.13	$1,380.38	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,778.28	Professional		$776.25	$1,202.26	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $3,715.35	Professional		$831.76	$1,380.38	$3,715.35
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 $912.01 / $1,071.52 / $1,202.26	Professional		$912.01	$1,071.52	$1,202.26
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 $1,584.89 / $4,265.80 / $8,128.31	Facility		$1,584.89	$4,265.80	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,819.70	Professional		$794.33	$1,071.52	$1,819.70