Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,118.00 / $5,430.00	Facility		$923.00	$2,118.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.43 / $1,078.13 / $1,970.09	Professional		$890.43	$1,078.13	$1,970.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,111.27 / $1,111.27 / $1,111.27	Professional		$1,111.27	$1,111.27	$1,111.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $12,596.37 / $25,210.33	Facility		$8,538.45	$12,596.37	$25,210.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,291.66 / $1,786.06 / $2,174.69	Professional		$1,291.66	$1,786.06	$2,174.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $10,111.00	Facility		$875.00	$6,831.39	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,039.84 / $1,546.26 / $2,276.17	Professional		$1,039.84	$1,546.26	$2,276.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,210.81 / $1,812.98 / $5,351.47	Professional		$1,210.81	$1,812.98	$5,351.47
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 $1,241.75 / $1,346.79 / $1,499.10	Professional		$1,241.75	$1,346.79	$1,499.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,695.13	Professional		$32.34	$32.34	$1,695.13
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 $1,000.89 / $1,379.13 / $2,346.71	Professional		$1,000.89	$1,379.13	$2,346.71