Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,265.80 / $17,782.79	Facility		$1,288.25	$4,265.80	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $3,235.94	Professional		$1,096.48	$1,548.82	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $977.24 / $1,071.52	Professional		$933.25	$977.24	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,456.54 / $25,118.86	Facility		$5,370.32	$6,456.54	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,089.30	Professional		$1,348.96	$1,905.46	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,344.23	Professional		$1,148.15	$1,621.81	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $5,370.32	Professional		$1,071.52	$1,949.84	$5,370.32
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 $1,412.54 / $1,445.44 / $1,548.82	Professional		$1,412.54	$1,445.44	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,370.32 / $12,302.69	Facility		$2,041.74	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,344.23	Professional		$1,096.48	$1,412.54	$2,344.23