Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,677.35 / $9,120.11	Facility		$1,148.15	$4,677.35	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $6,606.93	Professional		$2,238.72	$2,951.21	$6,606.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $37,153.52 / $70,794.58	Facility		$13,803.84	$37,153.52	$70,794.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,677.35 / $5,128.61	Professional		$3,630.78	$4,677.35	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,890.45 / $5,623.41	Professional		$2,454.71	$3,890.45	$5,623.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,677.35 / $13,803.84	Professional		$2,951.21	$4,677.35	$13,803.84
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 $2,884.03 / $3,548.13 / $4,073.80	Professional		$2,884.03	$3,548.13	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $616.60	Professional		$32.36	$32.36	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,951.21 / $7,413.10	Facility		$616.60	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $5,888.44	Professional		$2,454.71	$3,388.44	$5,888.44