Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,238.80 / $10,750.00	Facility		$1,272.00	$3,238.80	$10,750.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $975.25 / $1,617.17 / $1,974.68	Facility	54	$975.25	$1,617.17	$1,974.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.84 / $1,356.20 / $2,184.55	Professional		$1,067.84	$1,356.20	$2,184.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,069.42 / $1,069.42 / $1,069.42	Professional		$1,069.42	$1,069.42	$1,069.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,535.43 / $12,249.96 / $26,718.71	Facility		$5,535.43	$12,249.96	$26,718.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,336.23 / $1,893.80 / $2,081.23	Professional		$1,336.23	$1,893.80	$2,081.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,586.62 / $2,315.67	Professional		$1,138.18	$1,586.62	$2,315.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.08 / $1,849.07 / $4,850.07	Professional		$1,082.08	$1,849.07	$4,850.07
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 $1,406.72 / $1,432.12 / $1,550.84	Professional		$1,406.72	$1,432.12	$1,550.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,753.64	Professional		$32.34	$32.34	$1,753.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $5,951.00 / $12,241.00	Facility		$1,400.00	$5,951.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,097.40 / $1,463.37 / $2,472.37	Professional		$1,097.40	$1,463.37	$2,472.37