Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,388.44 / $9,772.37	Facility		$831.76	$3,388.44	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $891.25 / $1,621.81	Professional		$457.09	$891.25	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $912.01	Professional		$562.34	$562.34	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,165.95 / $13,182.57	Facility		$5,128.61	$6,165.95	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,096.48	Professional		$707.95	$1,000.00	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,737.80	Professional		$630.96	$977.24	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $3,630.78	Professional		$562.34	$1,000.00	$3,630.78
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 $741.31 / $758.58 / $812.83	Professional		$741.31	$758.58	$812.83
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 $1,513.56 / $5,370.32 / $12,302.69	Facility		$1,513.56	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $1,995.26	Professional		$870.96	$1,318.26	$1,995.26