Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.00 / $8,618.06 / $38,359.44	Facility		$1,609.00	$8,618.06	$38,359.44
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $238.37 / $367.64 / $616.25	Facility	53	$238.37	$367.64	$616.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.62 / $1,191.84 / $2,306.33	Professional		$966.62	$1,191.84	$2,306.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $874.93 / $874.93 / $1,220.05	Professional		$874.93	$874.93	$1,220.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,372.80 / $8,771.67 / $34,523.49	Facility		$4,372.80	$8,771.67	$34,523.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,143.50 / $1,815.69 / $2,040.01	Professional		$1,143.50	$1,815.69	$2,040.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.80 / $1,546.64 / $2,370.44	Professional		$1,053.80	$1,546.64	$2,370.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $970.13 / $1,459.81 / $5,531.49	Professional		$970.13	$1,459.81	$5,531.49
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 $1,045.97 / $1,201.10 / $1,340.42	Professional		$1,045.97	$1,201.10	$1,340.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,515.70	Professional		$32.34	$32.34	$1,515.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,655.00 / $8,879.00 / $35,962.00	Facility		$2,655.00	$8,879.00	$35,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.16 / $1,637.14 / $2,832.44	Professional		$1,152.16	$1,637.14	$2,832.44