Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,511.89	Facility		$1,230.27	$1,230.27	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,511.89	Professional		$933.25	$1,258.93	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $16,982.44	Facility		$2,951.21	$4,786.30	$16,982.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $3,019.95	Facility		$1,584.89	$1,584.89	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,884.03	Professional		$1,174.90	$1,174.90	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $3,467.37	Professional		$2,089.30	$2,691.53	$3,467.37
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 $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,995.26	Professional		$1,380.38	$1,380.38	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,548.13	Facility		$1,445.44	$1,995.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,949.84	Professional		$933.25	$1,230.27	$1,949.84