Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,947.55 / $16,907.88	Facility		$1,272.00	$3,947.55	$16,907.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.94 / $1,348.06 / $2,672.11	Professional		$1,026.94	$1,348.06	$2,672.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,113.08 / $1,113.08 / $1,113.08	Professional		$1,113.08	$1,113.08	$1,113.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,325.75 / $10,748.65 / $23,444.16	Facility		$5,325.75	$10,748.65	$23,444.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,169.08 / $1,656.92 / $1,819.13	Professional		$1,169.08	$1,656.92	$1,819.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $11,558.00 / $13,383.00	Facility		$1,383.00	$11,558.00	$13,383.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.24 / $1,461.22 / $2,230.69	Professional		$999.24	$1,461.22	$2,230.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $947.10 / $1,617.78 / $5,966.96	Professional		$947.10	$1,617.78	$5,966.96
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 $1,229.36 / $1,251.77 / $1,356.85	Professional		$1,229.36	$1,251.77	$1,356.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,534.28	Professional		$32.34	$32.34	$1,534.28
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 $1,094.46 / $1,541.94 / $2,395.52	Professional		$1,094.46	$1,541.94	$2,395.52