Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,128.61 / $14,125.38	Facility		$1,479.11	$5,128.61	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $4,073.80	Professional		$1,318.26	$1,862.09	$4,073.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,698.24	Professional		$1,047.13	$1,202.26	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $8,317.64 / $28,183.83	Facility		$6,918.31	$8,317.64	$28,183.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,344.23	Professional		$1,513.56	$2,137.96	$2,344.23
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 $1,348.96 / $1,862.09 / $2,951.21	Professional		$1,348.96	$1,862.09	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $7,762.47	Professional		$1,202.26	$2,187.76	$7,762.47
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 $1,584.89 / $1,621.81 / $1,737.80	Professional		$1,584.89	$1,621.81	$1,737.80
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 $1,380.38 / $1,819.70 / $2,884.03	Professional		$1,380.38	$1,819.70	$2,884.03