Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,801.89 / $11,220.18	Facility		$1,122.02	$3,801.89	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $2,884.03	Professional		$707.95	$1,071.52	$2,884.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $758.58	Professional		$691.83	$691.83	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,471.29 / $16,982.44	Facility		$8,511.38	$10,471.29	$16,982.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,584.89	Professional		$933.25	$1,288.25	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,621.81	Professional		$741.31	$1,096.48	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $3,548.13	Professional		$831.76	$1,318.26	$3,548.13
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 $912.01 / $977.24 / $1,096.48	Professional		$912.01	$977.24	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,025.60 / $12,302.69	Facility		$2,137.96	$6,025.60	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,584.89	Professional		$707.95	$954.99	$1,584.89