Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,862.09 / $5,623.41	Facility		$724.44	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,548.82	Professional		$549.54	$812.83	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $660.69	Professional		$446.68	$501.19	$660.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $11,748.98	Facility		$3,090.30	$3,715.35	$11,748.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,288.25	Professional		$630.96	$977.24	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,380.38	Professional		$575.44	$851.14	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,023.29 / $2,344.23	Professional		$549.54	$1,023.29	$2,344.23
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 $660.69 / $676.08 / $977.24	Professional		$660.69	$676.08	$977.24
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 / $6,309.57	Facility		$1,174.90	$3,548.13	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,348.96	Professional		$562.34	$812.83	$1,348.96