Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,180.94 / $5,483.00	Facility		$165.00	$1,180.94	$5,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $162.59 / $399.06	Professional		$87.94	$162.59	$399.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $124.09 / $165.45	Professional		$80.38	$124.09	$165.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,142.85 / $2,144.98 / $2,972.19	Facility		$1,142.85	$2,144.98	$2,972.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $209.16 / $299.08	Professional		$160.41	$209.16	$299.08
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 $130.12 / $199.07 / $307.69	Professional		$130.12	$199.07	$307.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $255.46 / $506.69	Professional		$153.38	$255.46	$506.69
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 $164.52 / $169.51 / $239.53	Professional		$164.52	$169.51	$239.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $270.85	Professional		$32.34	$32.34	$270.85
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 $156.76 / $216.84 / $380.91	Professional		$156.76	$216.84	$380.91