Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $9,772.37	Facility		$1,023.29	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,621.81	Professional		$537.03	$691.83	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,471.29 / $14,125.38	Facility		$6,606.93	$10,471.29	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,479.11	Professional		$794.33	$1,202.26	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $10,000.00 / $13,182.57	Facility		$5,754.40	$10,000.00	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,380.38	Professional		$588.84	$954.99	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $2,630.27	Professional		$776.25	$1,230.27	$2,630.27
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 $851.14 / $912.01 / $1,023.29	Professional		$851.14	$912.01	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
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 $562.34 / $758.58 / $1,288.25	Professional		$562.34	$758.58	$1,288.25