Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,511.89 / $5,888.44	Facility		$1,000.00	$2,511.89	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $2,137.96	Professional		$691.83	$912.01	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,471.29 / $18,197.01	Facility		$8,912.51	$10,471.29	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,698.24	Professional		$1,000.00	$1,380.38	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,698.24	Professional		$741.31	$1,122.02	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $4,073.80	Professional		$891.25	$1,412.54	$4,073.80
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 $977.24 / $1,047.13 / $1,174.90	Professional		$977.24	$1,047.13	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $891.25	Professional		$32.36	$33.11	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,365.16 / $7,585.78	Facility		$1,513.56	$4,365.16	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,698.24	Professional		$741.31	$977.24	$1,698.24