Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,565.96 / $5,430.00	Facility		$923.00	$2,565.96	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.97 / $1,407.46 / $2,805.31	Professional		$1,179.97	$1,407.46	$2,805.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,769.29 / $1,769.29 / $1,769.29	Professional		$1,769.29	$1,769.29	$1,769.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,147.48 / $18,396.32 / $32,911.28	Facility		$14,147.48	$18,396.32	$32,911.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,683.31 / $2,327.64 / $2,835.11	Professional		$1,683.31	$2,327.64	$2,835.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $5,984.00 / $21,407.15	Facility		$875.00	$5,984.00	$21,407.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.96 / $1,990.32 / $2,941.77	Professional		$1,377.96	$1,990.32	$2,941.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,577.95 / $2,363.55 / $6,394.60	Professional		$1,577.95	$2,363.55	$6,394.60
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 $1,608.62 / $1,755.78 / $1,953.65	Professional		$1,608.62	$1,755.78	$1,953.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,209.13	Professional		$32.34	$32.34	$2,209.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,311.24 / $1,763.17 / $3,020.31	Professional		$1,311.24	$1,763.17	$3,020.31