Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.91 / $912.91 / $912.91	Facility		$912.91	$912.91	$912.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.71 / $912.91 / $1,083.95	Professional		$771.71	$912.91	$1,083.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,332.11 / $1,332.11 / $1,332.11	Professional		$1,332.11	$1,332.11	$1,332.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.51 / $8,552.43 / $18,653.93	Facility		$2,344.51	$8,552.43	$18,653.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,153.46 / $1,349.87 / $1,349.87	Professional		$1,153.46	$1,349.87	$1,349.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $1,898.04	Facility		$1,037.25	$1,037.25	$1,898.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $1,037.25 / $2,059.13	Professional		$757.19	$1,037.25	$2,059.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,598.54 / $2,176.61 / $2,693.99	Professional		$1,598.54	$2,176.61	$2,693.99
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 $2,309.00 / $2,309.00 / $2,309.00	Professional		$2,309.00	$2,309.00	$2,309.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,002.68 / $1,432.41 / $1,504.03	Professional		$1,002.68	$1,432.41	$1,504.03
United Facility/Professional Professional Modifier Low / Median / High Price $676.23 / $886.10 / $1,521.15	Professional		$676.23	$886.10	$1,521.15