Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,073.80 / $10,000.00	Facility		$1,202.26	$4,073.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $3,388.44	Professional		$1,023.29	$1,318.26	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,964.78 / $26,302.68	Facility		$9,120.11	$10,964.78	$26,302.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,454.71	Professional		$1,445.44	$1,995.26	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,511.89	Professional		$1,122.02	$1,698.24	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $5,370.32	Professional		$1,288.25	$2,041.74	$5,370.32
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 $1,380.38 / $1,513.56 / $1,698.24	Professional		$1,380.38	$1,513.56	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,621.81	Professional		$32.36	$33.11	$1,621.81
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 $1,096.48 / $1,479.11 / $2,511.89	Professional		$1,096.48	$1,479.11	$2,511.89