Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,677.35 / $14,454.40	Facility		$1,621.81	$4,677.35	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,388.44	Professional		$1,548.82	$1,995.26	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $35,481.34	Facility		$7,244.36	$8,912.51	$35,481.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $3,235.94	Professional		$2,089.30	$3,019.95	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,398.83 / $3,548.13	Professional		$1,318.26	$2,398.83	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $8,128.31	Professional		$1,659.59	$2,754.23	$8,128.31
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 $2,041.74 / $2,137.96 / $2,398.83	Professional		$2,041.74	$2,137.96	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $12,302.69	Facility		$2,089.30	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,630.78	Professional		$1,621.81	$2,089.30	$3,630.78