Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,981.07 / $9,772.37	Facility		$1,258.93	$3,981.07	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $4,570.88	Professional		$1,778.28	$2,344.23	$4,570.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $10,232.93 / $51,286.14	Facility		$7,585.78	$10,232.93	$51,286.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,890.45 / $4,570.88	Professional		$2,818.38	$3,890.45	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $4,365.16	Professional		$1,819.70	$3,019.95	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $8,128.31	Professional		$2,187.76	$3,715.35	$8,128.31
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 $2,344.23 / $2,818.38 / $3,235.94	Professional		$2,344.23	$2,818.38	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,630.27	Professional		$32.36	$33.11	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $4,466.84	Professional		$1,778.28	$2,398.83	$4,466.84