Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,128.61 / $15,488.17	Facility		$1,258.93	$5,128.61	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,951.21	Professional		$1,122.02	$1,479.11	$2,951.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,071.52	Professional		$933.25	$1,023.29	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,456.54 / $23,988.33	Facility		$5,370.32	$6,456.54	$23,988.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $1,995.26	Professional		$1,288.25	$1,819.70	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,344.23	Professional		$1,148.15	$1,548.82	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $6,309.57	Professional		$1,023.29	$1,862.09	$6,309.57
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 $1,348.96 / $1,380.38 / $1,479.11	Professional		$1,348.96	$1,380.38	$1,479.11
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 $1,122.02 / $1,445.44 / $2,344.23	Professional		$1,122.02	$1,445.44	$2,344.23