Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,235.94 / $8,511.38	Facility		$1,122.02	$3,235.94	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $3,311.31	Professional		$676.08	$1,174.90	$3,311.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $933.25	Professional		$676.08	$741.31	$933.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $16,595.87	Facility		$3,715.35	$4,466.84	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,548.82	Professional		$912.01	$1,258.93	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,548.82	Professional		$724.44	$1,071.52	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,412.54 / $3,311.31	Professional		$812.83	$1,412.54	$3,311.31
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 $851.14 / $954.99 / $1,071.52	Professional		$851.14	$954.99	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $831.76	Professional		$32.36	$33.11	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,548.13 / $6,918.31	Facility		$1,412.54	$3,548.13	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,584.89	Professional		$691.83	$912.01	$1,584.89