Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.25 / $3,051.40 / $4,137.08	Facility		$1,154.25	$3,051.40	$4,137.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.03 / $1,154.25 / $1,321.08	Professional		$991.03	$1,154.25	$1,321.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,040.86 / $1,040.86 / $1,040.86	Professional		$1,040.86	$1,040.86	$1,040.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.92 / $7,921.39 / $18,427.52	Facility		$1,399.92	$7,921.39	$18,427.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.67 / $1,214.34 / $1,387.82	Professional		$1,191.67	$1,214.34	$1,387.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,320.91 / $1,337.96 / $2,895.23	Facility		$1,320.91	$1,337.96	$2,895.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,199.29 / $1,665.49 / $2,470.80	Professional		$1,199.29	$1,665.49	$2,470.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.04 / $1,619.13 / $4,281.51	Professional		$1,076.04	$1,619.13	$4,281.51
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 $1,290.98 / $1,332.24 / $1,503.48	Professional		$1,290.98	$1,332.24	$1,503.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.02 / $1,383.70 / $2,255.07	Professional		$1,018.02	$1,383.70	$2,255.07