Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,677.35 / $14,125.38	Facility		$1,174.90	$4,677.35	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $4,365.16	Professional		$912.01	$1,513.56	$4,365.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,445.44	Professional		$1,047.13	$1,258.93	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $20,417.38	Facility		$5,011.87	$8,511.38	$20,417.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $1,862.09	Professional		$1,096.48	$1,737.80	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $2,137.96	Professional		$794.33	$1,445.44	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $4,677.35	Professional		$1,023.29	$1,621.81	$4,677.35
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 $1,202.26 / $1,258.93 / $1,380.38	Professional		$1,202.26	$1,258.93	$1,380.38
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 $977.24 / $1,258.93 / $2,137.96	Professional		$977.24	$1,258.93	$2,137.96