Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.87 / $2,392.75 / $18,587.40	Facility		$1,376.87	$2,392.75	$18,587.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.24 / $11,589.00 / $19,347.30	Professional		$1,049.24	$11,589.00	$19,347.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $639.41 / $674.52 / $7,123.69	Professional		$639.41	$674.52	$7,123.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,124.25 / $19,803.77 / $30,511.05	Facility		$9,124.25	$19,803.77	$30,511.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.53 / $3,486.82 / $17,565.93	Professional		$860.53	$3,486.82	$17,565.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.13 / $1,384.86 / $18,916.00	Professional		$1,055.13	$1,384.86	$18,916.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $879.59 / $11,068.86 / $20,710.09	Professional		$879.59	$11,068.86	$20,710.09
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 $765.05 / $879.59 / $10,838.67	Professional		$765.05	$879.59	$10,838.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $12,256.04	Professional		$32.34	$32.34	$12,256.04
United Facility/Professional Professional Modifier Low / Median / High Price $11,041.69 / $16,194.32 / $27,336.23	Professional		$11,041.69	$16,194.32	$27,336.23