Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $7,079.46	Facility		$1,000.00	$2,187.76	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,778.28	Professional		$630.96	$851.14	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $15,848.93	Facility		$4,365.16	$5,248.07	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,412.54	Professional		$851.14	$1,174.90	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,584.89	Professional		$676.08	$1,047.13	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,288.25 / $3,019.95	Professional		$794.33	$1,288.25	$3,019.95
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 $891.25 / $954.99 / $1,047.13	Professional		$891.25	$954.99	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $141.25	Professional		$32.36	$32.36	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,302.69	Facility		$2,137.96	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,548.82	Professional		$676.08	$933.25	$1,548.82