Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.00 / $5,151.63 / $18,910.32	Facility		$1,389.00	$5,151.63	$18,910.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.52 / $1,471.23 / $2,878.33	Professional		$1,179.52	$1,471.23	$2,878.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,073.33 / $1,418.70 / $1,702.44	Professional		$1,073.33	$1,418.70	$1,702.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,535.43 / $12,336.88 / $26,908.30	Facility		$5,535.43	$12,336.88	$26,908.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,342.68 / $1,902.94 / $2,091.46	Professional		$1,342.68	$1,902.94	$2,091.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $11,558.00 / $13,383.00	Facility		$1,383.00	$11,558.00	$13,383.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.51 / $1,678.19 / $2,714.79	Professional		$1,147.51	$1,678.19	$2,714.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,107.05 / $1,889.71 / $7,168.01	Professional		$1,107.05	$1,889.71	$7,168.01
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 $1,411.16 / $1,439.17 / $1,558.32	Professional		$1,411.16	$1,439.17	$1,558.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,762.10	Professional		$32.34	$32.34	$1,762.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,850.00 / $5,978.00 / $12,241.00	Facility		$1,850.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,290.54 / $1,721.32 / $2,766.70	Professional		$1,290.54	$1,721.32	$2,766.70