Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $10,000.00	Facility		$1,202.26	$2,884.03	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $3,235.94	Professional		$1,096.48	$1,479.11	$3,235.94
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 $13,489.63 / $18,620.87 / $27,542.29	Facility		$13,489.63	$18,620.87	$27,542.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,511.89	Professional		$1,513.56	$2,089.30	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $12,022.64 / $16,595.87	Facility		$6,918.31	$12,022.64	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,570.40	Professional		$1,148.15	$1,737.80	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $7,585.78	Professional		$1,318.26	$2,089.30	$7,585.78
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 $1,445.44 / $1,548.82 / $1,737.80	Professional		$1,445.44	$1,548.82	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,943.28 / $16,982.44	Facility		$2,570.40	$7,943.28	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,570.40	Professional		$1,122.02	$1,479.11	$2,570.40