Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.44 / $1,806.48 / $16,092.50	Facility		$1,019.44	$1,806.48	$16,092.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.49 / $10,494.70 / $17,003.20	Professional		$798.49	$10,494.70	$17,003.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $483.26 / $483.26 / $483.26	Professional		$483.26	$483.26	$483.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,904.74 / $13,554.68 / $20,333.22	Facility		$6,904.74	$13,554.68	$20,333.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.87 / $2,632.52 / $15,907.16	Professional		$654.87	$2,632.52	$15,907.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.93 / $1,027.29 / $17,425.00	Professional		$764.93	$1,027.29	$17,425.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $664.08 / $8,305.12 / $14,139.87	Professional		$664.08	$8,305.12	$14,139.87
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 $566.04 / $664.08 / $9,815.16	Professional		$566.04	$664.08	$9,815.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $11,098.68	Professional		$32.34	$32.34	$11,098.68
United Facility/Professional Professional Modifier Low / Median / High Price $9,537.71 / $13,361.22 / $24,160.61	Professional		$9,537.71	$13,361.22	$24,160.61