Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,593.00 / $4,189.62 / $5,985.18	Facility		$1,593.00	$4,189.62	$5,985.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,880.00 / $2,510.86 / $3,710.81	Professional		$1,880.00	$2,510.86	$3,710.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $9.00	Professional		$9.00	$9.00	$9.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,941.46 / $12,364.49 / $38,622.18	Facility		$3,941.46	$12,364.49	$38,622.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $2,014.52 / $2,248.09	Professional		$3.50	$2,014.52	$2,248.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,040.13 / $7,135.74 / $13,440.36	Facility		$2,040.13	$7,135.74	$13,440.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.09 / $3,388.35 / $4,928.13	Professional		$1,518.09	$3,388.35	$4,928.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $4,116.64 / $7,791.94	Professional		$2,919.60	$4,116.64	$7,791.94
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 $3,795.48 / $3,795.48 / $3,795.48	Professional		$3,795.48	$3,795.48	$3,795.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,459.80 / $2,002.85 / $4,291.81	Professional		$1,459.80	$2,002.85	$4,291.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $2,919.60	Professional		$1,226.23	$1,751.76	$2,919.60