Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,413.10 / $19,054.61	Facility		$1,621.81	$7,413.10	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $4,265.80	Professional		$1,174.90	$1,659.59	$4,265.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,584.89	Professional		$954.99	$1,202.26	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,456.54 / $25,118.86	Facility		$5,370.32	$6,456.54	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,089.30	Professional		$1,348.96	$1,905.46	$2,089.30
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 $1,230.27 / $1,778.28 / $2,884.03	Professional		$1,230.27	$1,778.28	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $7,943.28	Professional		$1,071.52	$1,905.46	$7,943.28
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 $1,412.54 / $1,445.44 / $1,548.82	Professional		$1,412.54	$1,445.44	$1,548.82
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 $1,230.27 / $1,698.24 / $2,630.27	Professional		$1,230.27	$1,698.24	$2,630.27