Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,187.76	Facility		$1,071.52	$1,071.52	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $2,137.96	Professional		$933.25	$1,122.02	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $1,698.24	Professional		$1,148.15	$1,621.81	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,168.69 / $14,791.08	Facility		$2,630.27	$4,168.69	$14,791.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,398.83	Facility		$1,202.26	$1,202.26	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $2,511.89	Professional		$891.25	$891.25	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,162.28	Professional		$1,819.70	$2,511.89	$3,162.28
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 $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,905.46	Professional		$1,318.26	$1,318.26	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $3,162.28	Facility		$1,288.25	$1,737.80	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,621.81	Professional		$831.76	$1,071.52	$1,621.81