Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.83 / $1,198.35 / $1,927.01	Facility		$838.83	$1,198.35	$1,927.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.84 / $1,176.32 / $2,108.29	Professional		$667.84	$1,176.32	$2,108.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,483.43 / $1,483.43 / $1,483.43	Professional		$1,483.43	$1,483.43	$1,483.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,173.99 / $11,067.36 / $22,162.38	Facility		$5,173.99	$11,067.36	$22,162.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $983.24 / $1,370.46 / $1,725.66	Professional		$983.24	$1,370.46	$1,725.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.61 / $1,320.01 / $1,836.53	Professional		$756.61	$1,320.01	$1,836.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $917.31 / $1,555.87 / $2,970.97	Professional		$917.31	$1,555.87	$2,970.97
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 $883.55 / $1,048.16 / $1,492.18	Professional		$883.55	$1,048.16	$1,492.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,721.75	Professional		$32.34	$32.34	$1,721.75
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 $824.04 / $1,204.80 / $1,881.83	Professional		$824.04	$1,204.80	$1,881.83