Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,819.70	Facility		$912.01	$912.01	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,621.81	Professional		$812.83	$933.25	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,819.70	Professional		$933.25	$1,000.00	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $17,378.01	Facility		$2,187.76	$2,884.03	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,348.96	Professional		$1,148.15	$1,348.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,949.84	Facility		$1,047.13	$1,047.13	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,905.46	Professional		$758.58	$758.58	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $2,691.53	Professional		$1,513.56	$2,187.76	$2,691.53
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 $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,445.44	Professional		$1,000.00	$1,000.00	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,412.54 / $2,691.53	Facility		$707.95	$1,412.54	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,479.11	Professional		$676.08	$891.25	$1,479.11