Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $8,511.38	Facility		$1,148.15	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $3,019.95	Professional		$1,230.27	$1,445.44	$3,019.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $1,949.84	Professional		$316.23	$316.23	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $18,620.87 / $30,902.95	Facility		$15,135.61	$18,620.87	$30,902.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,884.03	Professional		$1,318.26	$1,949.84	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $6,025.60	Professional		$1,513.56	$2,398.83	$6,025.60
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 $1,621.81 / $1,778.28 / $1,949.84	Professional		$1,621.81	$1,778.28	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,244.36 / $16,982.44	Facility		$1,778.28	$7,244.36	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,951.21	Professional		$1,258.93	$1,659.59	$2,951.21