Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,647.00 / $14,699.26	Facility		$1,129.00	$3,647.00	$14,699.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.63 / $1,001.19 / $1,805.18	Professional		$813.63	$1,001.19	$1,805.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $814.13 / $814.13 / $814.13	Professional		$814.13	$814.13	$814.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,733.34 / $12,263.84 / $24,558.33	Facility		$5,733.34	$12,263.84	$24,558.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,130.00 / $1,547.33 / $1,793.38	Professional		$1,130.00	$1,547.33	$1,793.38
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 $930.21 / $1,341.97 / $1,966.56	Professional		$930.21	$1,341.97	$1,966.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $992.85 / $1,538.12 / $4,109.60	Professional		$992.85	$1,538.12	$4,109.60
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 $1,073.90 / $1,173.36 / $1,292.27	Professional		$1,073.90	$1,173.36	$1,292.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,491.08	Professional		$32.34	$32.34	$1,491.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $971.53 / $1,360.07 / $2,081.48	Professional		$971.53	$1,360.07	$2,081.48