Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,623.41 / $15,135.61	Facility		$1,258.93	$5,623.41	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $5,011.87	Professional		$1,000.00	$1,412.54	$5,011.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $1,445.44	Professional		$831.76	$912.01	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $15,488.17 / $21,877.62	Facility		$7,244.36	$15,488.17	$21,877.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,187.76	Professional		$1,380.38	$1,819.70	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $11,481.54 / $12,589.25	Facility		$7,585.78	$11,481.54	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,398.83	Professional		$1,023.29	$1,621.81	$2,398.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $5,128.61	Professional		$1,096.48	$1,905.46	$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 $1,288.25 / $1,412.54 / $1,548.82	Professional		$1,288.25	$1,412.54	$1,548.82
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 $2,570.40 / $7,943.28 / $16,982.44	Facility		$2,570.40	$7,943.28	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $2,454.71	Professional		$1,174.90	$1,479.11	$2,454.71