Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,235.94 / $8,912.51	Facility		$1,096.48	$3,235.94	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $4,073.80	Professional		$1,288.25	$1,949.84	$4,073.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $30,902.95	Facility		$7,585.78	$9,120.11	$30,902.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,818.38	Professional		$1,659.59	$2,290.87	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,019.95	Professional		$1,348.96	$1,949.84	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $10,964.78	Professional		$1,479.11	$2,398.83	$10,964.78
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 $1,698.24 / $1,778.28 / $1,905.46	Professional		$1,698.24	$1,778.28	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
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 $1,288.25 / $1,737.80 / $3,019.95	Professional		$1,288.25	$1,737.80	$3,019.95