Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.76 / $1,166.33 / $6,240.30	Facility		$205.76	$1,166.33	$6,240.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $195.56 / $395.68	Professional		$131.50	$195.56	$395.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.16 / $134.85 / $140.71	Professional		$106.16	$134.85	$140.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,405.09 / $2,229.44 / $3,268.67	Facility		$1,405.09	$2,229.44	$3,268.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.19 / $266.23 / $378.28	Professional		$198.19	$266.23	$378.28
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 $157.53 / $243.17 / $389.39	Professional		$157.53	$243.17	$389.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.06 / $319.70 / $644.92	Professional		$190.06	$319.70	$644.92
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 $196.76 / $207.81 / $304.88	Professional		$196.76	$207.81	$304.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $344.74	Professional		$32.34	$32.34	$344.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.04 / $275.86 / $474.00	Professional		$197.04	$275.86	$474.00