Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.69 / $1,017.00 / $5,430.00	Facility		$143.69	$1,017.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.26 / $138.05 / $303.44	Professional		$70.26	$138.05	$303.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $71.92 / $138.53	Professional		$71.92	$71.92	$138.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.91 / $956.32 / $2,085.87	Facility		$528.91	$956.32	$2,085.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $178.12 / $257.64	Professional		$124.00	$178.12	$257.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $159.66 / $258.35	Professional		$104.42	$159.66	$258.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $214.68 / $377.06	Professional		$122.33	$214.68	$377.06
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 $127.28 / $131.00 / $206.73	Professional		$127.28	$131.00	$206.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $233.76	Professional		$32.34	$32.34	$233.76
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $178.23 / $322.26	Professional		$125.59	$178.23	$322.26