Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,570.40 / $7,762.47	Facility		$1,148.15	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $3,311.31	Professional		$1,047.13	$1,380.38	$3,311.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $954.99	Professional		$645.65	$645.65	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,495.41 / $23,988.33	Facility		$4,570.88	$5,495.41	$23,988.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,187.76	Professional		$1,548.82	$1,819.70	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $2,754.23	Professional		$1,174.90	$1,737.80	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $7,079.46	Professional		$1,230.27	$2,041.74	$7,079.46
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 $1,479.11 / $1,621.81 / $1,778.28	Professional		$1,479.11	$1,621.81	$1,778.28
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 $1,202.26 / $1,659.59 / $2,691.53	Professional		$1,202.26	$1,659.59	$2,691.53