Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,949.84	Facility		$954.99	$954.99	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,621.81	Professional		$691.83	$954.99	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,715.35 / $13,182.57	Facility		$2,290.87	$3,715.35	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,819.70	Facility		$912.01	$912.01	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,949.84	Professional		$660.69	$660.69	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,454.71	Professional		$1,548.82	$1,905.46	$2,454.71
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 $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,445.44	Professional		$1,023.29	$1,023.29	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,548.82 / $2,344.23	Facility		$954.99	$1,548.82	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,348.96	Professional		$645.65	$954.99	$1,348.96