Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,884.03 / $9,332.54	Facility		$1,047.13	$2,884.03	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $2,570.40	Professional		$870.96	$1,122.02	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $22,908.68	Facility		$3,715.35	$5,011.87	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,137.96	Professional		$1,258.93	$1,737.80	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,137.96	Professional		$954.99	$1,445.44	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $4,466.84	Professional		$1,122.02	$1,905.46	$4,466.84
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 $1,230.27 / $1,318.26 / $1,445.44	Professional		$1,230.27	$1,318.26	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,096.48	Professional		$32.36	$33.11	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,548.13 / $6,918.31	Facility		$1,412.54	$3,548.13	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,137.96	Professional		$933.25	$1,230.27	$2,137.96