Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $3,385.00 / $12,423.56	Facility		$1,207.00	$3,385.00	$12,423.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.93 / $1,642.35 / $3,210.61	Professional		$1,318.93	$1,642.35	$3,210.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,198.33 / $1,198.33 / $1,583.00	Professional		$1,198.33	$1,198.33	$1,583.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,830.79 / $13,803.83 / $30,107.90	Facility		$6,830.79	$13,803.83	$30,107.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,497.52 / $2,122.39 / $2,332.92	Professional		$1,497.52	$2,122.39	$2,332.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $11,558.00 / $13,383.00	Facility		$875.00	$11,558.00	$13,383.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.30 / $1,824.67 / $2,728.69	Professional		$1,282.30	$1,824.67	$2,728.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.29 / $2,099.25 / $7,039.87	Professional		$1,212.29	$2,099.25	$7,039.87
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 $1,575.98 / $1,605.31 / $1,738.02	Professional		$1,575.98	$1,605.31	$1,738.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,965.30	Professional		$32.34	$32.34	$1,965.30
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 $1,406.60 / $1,943.06 / $3,408.83	Professional		$1,406.60	$1,943.06	$3,408.83