Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $3,981.07	Facility		$1,778.28	$1,778.28	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $3,630.78	Professional		$1,479.11	$1,905.46	$3,630.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,884.03	Professional		$2,818.38	$2,818.38	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,918.31 / $24,547.09	Facility		$4,265.80	$6,918.31	$24,547.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $4,265.80	Facility		$2,137.96	$2,137.96	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $4,168.69	Professional		$1,548.82	$1,548.82	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $5,128.61	Professional		$3,019.95	$4,073.80	$5,128.61
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 $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,884.03	Professional		$1,995.26	$1,995.26	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $5,495.41	Facility		$2,238.72	$2,818.38	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,951.21	Professional		$1,412.54	$1,778.28	$2,951.21