Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,140.96 / $5,549.00	Facility		$1,129.00	$2,140.96	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.86 / $1,368.83 / $2,140.96	Professional		$1,145.86	$1,368.83	$2,140.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $729.81 / $729.81 / $729.81	Professional		$729.81	$729.81	$729.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,000.01 / $19,251.36 / $38,550.83	Facility		$9,000.01	$19,251.36	$38,550.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,457.33 / $2,608.17 / $2,674.12	Professional		$1,457.33	$2,608.17	$2,674.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.83 / $1,713.47 / $2,292.85	Professional		$1,244.83	$1,713.47	$2,292.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,208.58 / $1,867.24 / $4,429.72	Professional		$1,208.58	$1,867.24	$4,429.72
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 $1,286.70 / $1,471.16 / $1,650.01	Professional		$1,286.70	$1,471.16	$1,650.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,865.78	Professional		$32.34	$32.34	$1,865.78
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,155.58 / $1,646.62 / $3,039.68	Professional		$1,155.58	$1,646.62	$3,039.68