Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.30 / $1,067.30 / $5,216.37	Facility		$1,067.30	$1,067.30	$5,216.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.88 / $1,087.06 / $1,272.90	Professional		$856.88	$1,087.06	$1,272.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,557.41 / $1,557.41 / $1,557.41	Professional		$1,557.41	$1,557.41	$1,557.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,481.98 / $4,199.09 / $17,866.98	Facility		$2,481.98	$4,199.09	$17,866.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,378.95 / $1,578.17 / $1,578.17	Professional		$1,378.95	$1,578.17	$1,578.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.46 / $1,277.46 / $2,228.89	Facility		$1,277.46	$1,277.46	$2,228.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $1,277.46 / $2,407.50	Professional		$932.55	$1,277.46	$2,407.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,765.06 / $2,369.40 / $2,937.00	Professional		$1,765.06	$2,369.40	$2,937.00
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 $2,699.50 / $2,699.50 / $2,699.50	Professional		$2,699.50	$2,699.50	$2,699.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,095.57 / $1,565.11 / $1,643.36	Professional		$1,095.57	$1,565.11	$1,643.36
United Facility/Professional Professional Modifier Low / Median / High Price $782.38 / $1,035.97 / $1,778.41	Professional		$782.38	$1,035.97	$1,778.41