Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,221.00 / $9,840.95	Facility		$1,017.00	$3,221.00	$9,840.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.39 / $788.03 / $1,399.95	Professional		$626.39	$788.03	$1,399.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $620.87 / $838.88 / $1,240.49	Professional		$620.87	$838.88	$1,240.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,101.27 / $8,850.44 / $20,588.77	Facility		$4,101.27	$8,850.44	$20,588.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.56 / $1,499.14 / $1,536.89	Professional		$837.56	$1,499.14	$1,536.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.28 / $1,005.12 / $1,385.98	Professional		$660.28	$1,005.12	$1,385.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $689.85 / $1,040.74 / $2,702.69	Professional		$689.85	$1,040.74	$2,702.69
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 $726.28 / $845.60 / $948.30	Professional		$726.28	$845.60	$948.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,072.31	Professional		$32.34	$32.34	$1,072.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.89 / $1,043.06 / $1,792.45	Professional		$696.89	$1,043.06	$1,792.45