Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.49 / $1,379.46 / $1,437.63	Facility		$1,296.49	$1,379.46	$1,437.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.55 / $873.87 / $2,215.60	Professional		$678.55	$873.87	$2,215.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $948.77 / $1,219.84 / $1,219.84	Professional		$948.77	$1,219.84	$1,219.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,857.31 / $3,438.22 / $3,438.22	Facility		$1,857.31	$3,438.22	$3,438.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.73 / $1,157.61 / $1,271.22	Professional		$974.73	$1,157.61	$1,271.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.16 / $1,020.16 / $1,020.16	Facility		$1,020.16	$1,020.16	$1,020.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.13 / $1,219.84 / $1,776.69	Professional		$853.13	$1,219.84	$1,776.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $938.79 / $1,355.39 / $4,438.88	Professional		$938.79	$1,355.39	$4,438.88
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 $1,061.40 / $1,104.45 / $1,174.67	Professional		$1,061.40	$1,104.45	$1,174.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,228.88	Professional		$32.34	$32.34	$1,228.88
United Facility/Professional Professional Modifier Low / Median / High Price $843.85 / $1,083.92 / $1,633.28	Professional		$843.85	$1,083.92	$1,633.28