Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,888.44 / $16,982.44	Facility		$1,258.93	$5,888.44	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,951.21	Professional		$1,047.13	$1,513.56	$2,951.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,584.89	Professional		$851.14	$1,023.29	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,456.54 / $21,877.62	Facility		$5,370.32	$6,456.54	$21,877.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $1,819.70	Professional		$1,174.90	$1,659.59	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,481.54 / $13,489.63	Facility		$8,317.64	$11,481.54	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $2,454.71	Professional		$1,047.13	$1,548.82	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,659.59 / $6,606.93	Professional		$933.25	$1,659.59	$6,606.93
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 $1,230.27 / $1,258.93 / $1,348.96	Professional		$1,230.27	$1,258.93	$1,348.96
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 $1,071.52 / $1,479.11 / $2,290.87	Professional		$1,071.52	$1,479.11	$2,290.87