Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.51 / $683.03 / $1,047.90	Facility		$456.51	$683.03	$1,047.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.78 / $641.87 / $1,062.35	Professional		$371.78	$641.87	$1,062.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.21 / $512.21 / $512.21	Professional		$512.21	$512.21	$512.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,815.77 / $6,023.04 / $12,061.13	Facility		$2,815.77	$6,023.04	$12,061.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.96 / $744.24 / $940.25	Professional		$533.96	$744.24	$940.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.90 / $719.22 / $1,000.65	Professional		$417.90	$719.22	$1,000.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $524.09 / $848.66 / $1,544.70	Professional		$524.09	$848.66	$1,544.70
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 $482.25 / $569.99 / $813.03	Professional		$482.25	$569.99	$813.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $938.12	Professional		$32.34	$32.34	$938.12
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.53 / $679.07 / $1,065.86	Professional		$443.53	$679.07	$1,065.86