Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,380.38	Facility		$691.83	$691.83	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,380.38	Professional		$478.63	$676.08	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $9,332.54	Facility		$1,621.81	$2,630.27	$9,332.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,023.29	Professional		$660.69	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $912.01	Facility		$776.25	$776.25	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,348.96	Professional		$562.34	$562.34	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,659.59	Professional		$1,023.29	$1,348.96	$1,659.59
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 $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,096.48	Professional		$758.58	$758.58	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,071.52 / $1,698.24	Facility		$436.52	$1,071.52	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $954.99	Professional		$436.52	$676.08	$954.99