Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.58 / $1,055.00 / $6,080.93	Facility		$144.58	$1,055.00	$6,080.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $150.59 / $390.00	Professional		$77.34	$150.59	$390.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $101.08 / $236.63	Professional		$72.70	$101.08	$236.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.96 / $1,180.83 / $2,266.00	Facility		$840.96	$1,180.83	$2,266.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.75 / $197.76 / $284.95	Professional		$135.75	$197.76	$284.95
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 $114.68 / $176.65 / $287.77	Professional		$114.68	$176.65	$287.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.35 / $238.62 / $477.82	Professional		$136.35	$238.62	$477.82
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 $139.13 / $143.52 / $228.53	Professional		$139.13	$143.52	$228.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $258.41	Professional		$32.34	$32.34	$258.41
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,905.00 / $4,342.00	Facility		$711.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $207.68 / $358.83	Professional		$139.05	$207.68	$358.83