Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.85 / $1,978.85 / $3,611.18	Facility		$1,116.85	$1,978.85	$3,611.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.51 / $1,143.58 / $2,275.51	Professional		$877.51	$1,143.58	$2,275.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,589.87 / $1,589.87 / $1,589.87	Professional		$1,589.87	$1,589.87	$1,589.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,656.26 / $14,238.00 / $28,511.59	Facility		$6,656.26	$14,238.00	$28,511.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,407.00 / $1,823.09 / $2,010.13	Professional		$1,407.00	$1,823.09	$2,010.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $908.00 / $39,621.00	Facility		$875.00	$908.00	$39,621.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.17 / $1,638.41 / $2,214.62	Professional		$909.17	$1,638.41	$2,214.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,156.20 / $1,812.48 / $8,539.08	Professional		$1,156.20	$1,812.48	$8,539.08
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 $1,137.41 / $1,366.42 / $1,577.73	Professional		$1,137.41	$1,366.42	$1,577.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,820.46	Professional		$32.34	$32.34	$1,820.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.22 / $1,553.40 / $2,403.31	Professional		$1,026.22	$1,553.40	$2,403.31