Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.35 / $3,221.00 / $14,874.00	Facility		$1,259.35	$3,221.00	$14,874.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.81 / $1,259.35 / $2,155.14	Professional		$1,072.81	$1,259.35	$2,155.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,030.69 / $1,030.69 / $1,030.69	Professional		$1,030.69	$1,030.69	$1,030.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,363.19 / $11,864.04 / $25,876.97	Facility		$5,363.19	$11,864.04	$25,876.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.36 / $1,825.97 / $2,006.85	Professional		$1,288.36	$1,825.97	$2,006.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.31 / $1,549.87 / $2,241.39	Professional		$1,099.31	$1,549.87	$2,241.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.68 / $1,805.84 / $5,776.55	Professional		$1,042.68	$1,805.84	$5,776.55
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 $1,355.48 / $1,380.94 / $1,495.29	Professional		$1,355.48	$1,380.94	$1,495.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,690.82	Professional		$32.34	$32.34	$1,690.82
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 $1,133.72 / $1,430.37 / $2,490.38	Professional		$1,133.72	$1,430.37	$2,490.38