Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $3,073.00 / $7,125.00	Facility		$1,207.00	$3,073.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,754.68 / $2,560.79	Professional		$1,380.10	$1,754.68	$2,560.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,785.13 / $1,785.13 / $1,785.13	Professional		$1,785.13	$1,785.13	$1,785.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,188.88 / $14,471.80 / $31,564.83	Facility		$5,188.88	$14,471.80	$31,564.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,567.42 / $2,221.44 / $2,443.69	Professional		$1,567.42	$2,221.44	$2,443.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.48 / $1,819.14 / $2,658.75	Professional		$1,338.48	$1,819.14	$2,658.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,247.91 / $2,099.01 / $6,403.01	Professional		$1,247.91	$2,099.01	$6,403.01
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 $1,647.97 / $1,681.54 / $1,819.14	Professional		$1,647.97	$1,681.54	$1,819.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,057.03	Professional		$32.34	$32.34	$2,057.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,286.84 / $1,706.75 / $2,910.90	Professional		$1,286.84	$1,706.75	$2,910.90