Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,672.61 / $6,050.00 / $23,391.20	Facility		$1,672.61	$6,050.00	$23,391.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.35 / $1,562.50 / $3,873.26	Professional		$1,291.35	$1,562.50	$3,873.26
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $209.53 / $329.02 / $1,071.20	Professional	AS	$209.53	$329.02	$1,071.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,515.49 / $1,515.49 / $1,727.62	Professional		$1,515.49	$1,515.49	$1,727.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,874.73 / $25,304.61 / $35,656.49	Facility		$14,874.73	$25,304.61	$35,656.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,764.85 / $2,440.38 / $2,979.03	Professional		$1,764.85	$2,440.38	$2,979.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $10,975.00 / $28,252.98	Facility		$875.00	$10,975.00	$28,252.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,454.64 / $2,127.07 / $3,121.58	Professional		$1,454.64	$2,127.07	$3,121.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,660.67 / $2,412.57 / $8,796.04	Professional		$1,660.67	$2,412.57	$8,796.04
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 $1,685.97 / $1,844.91 / $2,048.29	Professional		$1,685.97	$1,844.91	$2,048.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,316.15	Professional		$32.34	$32.34	$2,316.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $8,100.00 / $21,651.00	Facility		$2,600.00	$8,100.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,362.77 / $1,863.50 / $3,257.55	Professional		$1,362.77	$1,863.50	$3,257.55