Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,187.76 / $5,888.44	Facility		$1,071.52	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,630.27	Professional		$1,000.00	$1,288.25	$2,630.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $12,882.50 / $24,547.09	Facility		$10,715.19	$12,882.50	$24,547.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,137.96	Professional		$1,445.44	$1,905.46	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $2,454.71	Professional		$1,023.29	$1,659.59	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $5,495.41	Professional		$1,174.90	$1,995.26	$5,495.41
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 $1,348.96 / $1,479.11 / $1,621.81	Professional		$1,348.96	$1,479.11	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $229.09	Professional		$32.36	$32.36	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,882.50	Facility		$2,137.96	$5,370.32	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,454.71	Professional		$1,023.29	$1,412.54	$2,454.71