Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,862.09 / $6,918.31	Facility		$707.95	$1,862.09	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,230.27	Professional		$467.74	$691.83	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $457.09	Professional		$446.68	$446.68	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,548.13 / $10,000.00	Facility		$2,884.03	$3,548.13	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $1,096.48	Professional		$537.03	$831.76	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,174.90	Professional		$512.86	$741.31	$1,174.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $870.96 / $2,041.74	Professional		$467.74	$870.96	$2,041.74
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 $575.44 / $575.44 / $831.76	Professional		$575.44	$575.44	$831.76
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 $1,174.90 / $3,548.13 / $6,165.95	Facility		$1,174.90	$3,548.13	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,148.15	Professional		$478.63	$691.83	$1,148.15