Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.00 / $3,668.40 / $14,061.33	Facility		$1,259.00	$3,668.40	$14,061.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.45 / $1,423.70 / $3,259.88	Professional		$1,133.45	$1,423.70	$3,259.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,030.69 / $1,361.67 / $1,634.01	Professional		$1,030.69	$1,361.67	$1,634.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,361.62 / $11,860.55 / $25,869.37	Facility		$5,361.62	$11,860.55	$25,869.37
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 $1,102.44 / $1,580.85 / $2,342.69	Professional		$1,102.44	$1,580.85	$2,342.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.68 / $1,805.84 / $6,035.81	Professional		$1,042.68	$1,805.84	$6,035.81
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 $2,050.00 / $5,998.00 / $12,241.00	Facility		$2,050.00	$5,998.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,209.69 / $1,608.37 / $2,655.04	Professional		$1,209.69	$1,608.37	$2,655.04