Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $14,454.40	Facility		$1,148.15	$3,235.94	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $3,630.78	Professional		$1,023.29	$1,548.82	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,288.25	Professional		$1,148.15	$1,148.15	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $15,135.61 / $28,840.32	Facility		$5,623.41	$15,135.61	$28,840.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,238.72	Professional		$1,412.54	$1,949.84	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $2,511.89	Professional		$1,071.52	$1,698.24	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $5,128.61	Professional		$1,148.15	$1,949.84	$5,128.61
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 $1,348.96 / $1,479.11 / $1,621.81	Professional		$1,348.96	$1,479.11	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,265.80 / $8,128.31	Facility		$1,584.89	$4,265.80	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,570.40	Professional		$1,174.90	$1,513.56	$2,570.40