Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $7,762.47	Facility		$1,000.00	$2,041.74	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $1,412.54	Professional		$549.54	$645.65	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $13,803.84	Facility		$4,073.80	$4,897.79	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,288.25	Professional		$676.08	$1,047.13	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,288.25	Professional		$562.34	$870.96	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $2,818.38	Professional		$645.65	$1,096.48	$2,818.38
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 $741.31 / $794.33 / $891.25	Professional		$741.31	$794.33	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,288.25	Professional		$562.34	$741.31	$1,288.25