Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,981.07 / $10,000.00	Facility		$1,148.15	$3,981.07	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $2,089.30	Professional		$630.96	$870.96	$2,089.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,709.64 / $16,218.10	Facility		$4,265.80	$8,709.64	$16,218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $1,479.11	Professional		$1,023.29	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,737.80	Professional		$758.58	$1,148.15	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $3,388.44	Professional		$794.33	$1,318.26	$3,388.44
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 $891.25 / $1,047.13 / $1,174.90	Professional		$891.25	$1,047.13	$1,174.90
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 $776.25 / $1,047.13 / $1,778.28	Professional		$776.25	$1,047.13	$1,778.28