Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,884.03 / $7,762.47	Facility		$1,258.93	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $5,011.87	Professional		$1,202.26	$1,862.09	$5,011.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,165.95 / $28,840.32	Facility		$4,570.88	$6,165.95	$28,840.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,630.27	Professional		$1,659.59	$2,187.76	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $3,162.28	Professional		$1,318.26	$1,995.26	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $8,511.38	Professional		$1,479.11	$2,344.23	$8,511.38
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 $1,737.80 / $1,905.46 / $2,137.96	Professional		$1,737.80	$1,905.46	$2,137.96
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 $1,862.09 / $4,365.16 / $9,332.54	Facility		$1,862.09	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $3,090.30	Professional		$1,318.26	$1,778.28	$3,090.30