Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $8,511.38	Facility		$1,148.15	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $3,090.30	Professional		$1,412.54	$1,659.59	$3,090.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $18,197.01 / $34,673.69	Facility		$6,760.83	$18,197.01	$34,673.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $3,388.44	Professional		$1,288.25	$2,041.74	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,884.03 / $7,413.10	Professional		$1,548.82	$2,884.03	$7,413.10
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 $1,737.80 / $1,995.26 / $2,238.72	Professional		$1,737.80	$1,995.26	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,137.96	Professional		$32.36	$33.11	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,456.54 / $14,125.38	Facility		$1,584.89	$6,456.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,235.94	Professional		$1,445.44	$1,905.46	$3,235.94