Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,168.69 / $4,265.80	Facility		$2,454.71	$4,168.69	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,981.07 / $8,511.38	Professional		$2,041.74	$3,981.07	$8,511.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,818.38 / $3,467.37	Professional		$2,754.23	$2,818.38	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $34,673.69 / $66,069.34	Facility		$12,882.50	$34,673.69	$66,069.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $4,365.16	Professional		$3,090.30	$3,801.89	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,467.37 / $5,128.61	Professional		$1,905.46	$3,467.37	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,073.80 / $6,760.83	Professional		$2,238.72	$4,073.80	$6,760.83
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 $2,818.38 / $3,311.31 / $3,715.35	Professional		$2,818.38	$3,311.31	$3,715.35
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 $616.60 / $2,884.03 / $7,413.10	Facility		$616.60	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $4,570.88	Professional		$2,137.96	$2,691.53	$4,570.88