Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,603.60 / $5,470.25	Facility		$1,159.00	$3,603.60	$5,470.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.42 / $2,021.81 / $3,603.60	Professional		$1,728.42	$2,021.81	$3,603.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,300.17 / $2,300.17 / $2,300.17	Professional		$2,300.17	$2,300.17	$2,300.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,166.48 / $22,161.28 / $44,377.96	Facility		$10,166.48	$22,161.28	$44,377.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,297.56 / $2,752.64 / $3,488.60	Professional		$2,297.56	$2,752.64	$3,488.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,130.71	Facility		$400.00	$785.00	$2,130.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,722.68 / $2,695.58 / $4,067.01	Professional		$1,722.68	$2,695.58	$4,067.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,999.33 / $3,109.61 / $7,882.19	Professional		$1,999.33	$3,109.61	$7,882.19
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 $2,113.67 / $2,434.65 / $2,737.70	Professional		$2,113.67	$2,434.65	$2,737.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,095.70	Professional		$32.34	$32.34	$3,095.70
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,797.74 / $2,475.19 / $4,444.89	Professional		$1,797.74	$2,475.19	$4,444.89