Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,989.00 / $9,554.98	Facility		$1,129.00	$2,989.00	$9,554.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.98 / $1,120.30 / $2,183.78	Professional		$824.98	$1,120.30	$2,183.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,066.53 / $1,066.53 / $1,148.57	Professional		$1,066.53	$1,066.53	$1,148.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,241.88 / $9,287.35 / $20,256.88	Facility		$5,241.88	$9,287.35	$20,256.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,010.19 / $1,431.71 / $1,570.75	Professional		$1,010.19	$1,431.71	$1,570.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $11,558.00 / $13,383.00	Facility		$875.00	$11,558.00	$13,383.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.35 / $1,214.61 / $1,758.39	Professional		$863.35	$1,214.61	$1,758.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $801.96 / $1,341.53 / $4,750.62	Professional		$801.96	$1,341.53	$4,750.62
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 $1,064.82 / $1,080.84 / $1,172.43	Professional		$1,064.82	$1,080.84	$1,172.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,325.75	Professional		$32.34	$32.34	$1,325.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,530.00 / $5,978.00 / $12,241.00	Facility		$1,530.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $865.15 / $1,136.46 / $1,942.24	Professional		$865.15	$1,136.46	$1,942.24