Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,079.46 / $26,915.35	Facility		$1,862.09	$7,079.46	$26,915.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $5,888.44	Professional		$1,318.26	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $208.93 / $457.09 / $954.99	Professional	AS	$208.93	$457.09	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,318.26 / $1,949.84	Professional		$169.82	$1,318.26	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $25,118.86 / $33,884.42	Facility		$15,848.93	$25,118.86	$33,884.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $2,951.21	Professional		$1,778.28	$2,454.71	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $10,964.78 / $28,183.83	Facility		$6,456.54	$10,964.78	$28,183.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $3,019.95	Professional		$1,380.38	$2,041.74	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,398.83 / $8,912.51	Professional		$1,548.82	$2,398.83	$8,912.51
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 / $1,862.09 / $2,041.74	Professional		$1,698.24	$1,862.09	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,513.56	Professional		$32.36	$33.11	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $9,772.37 / $26,302.68	Facility		$3,311.31	$9,772.37	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,090.30	Professional		$1,348.96	$1,819.70	$3,090.30