Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.45 / $682.45 / $682.45	Facility		$682.45	$682.45	$682.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.82 / $682.45 / $1,062.22	Professional		$591.82	$682.45	$1,062.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $995.83 / $995.83 / $995.83	Professional		$995.83	$995.83	$995.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,586.82 / $2,684.62 / $11,424.42	Facility		$1,586.82	$2,684.62	$11,424.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.82 / $1,009.11 / $1,009.11	Professional		$842.82	$1,009.11	$1,009.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $830.86 / $1,447.01	Facility		$830.86	$830.86	$1,447.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $830.86 / $1,539.38	Professional		$606.53	$830.86	$1,539.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.59 / $1,661.27 / $2,106.63	Professional		$1,128.59	$1,661.27	$2,106.63
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 $1,726.10 / $1,726.10 / $1,726.10	Professional		$1,726.10	$1,726.10	$1,726.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $749.56 / $1,070.81 / $1,124.35	Professional		$749.56	$1,070.81	$1,124.35
United Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $876.64 / $876.64	Facility		$876.64	$876.64	$876.64
United Facility/Professional Professional Modifier Low / Median / High Price $546.89 / $662.41 / $1,172.94	Professional		$546.89	$662.41	$1,172.94