Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.36 / $1,225.00 / $6,957.28	Facility		$188.36	$1,225.00	$6,957.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.34 / $183.52 / $371.79	Professional		$119.34	$183.52	$371.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $143.47 / $143.47	Professional		$143.47	$143.47	$143.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.24 / $2,229.44 / $3,141.48	Facility		$1,318.24	$2,229.44	$3,141.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.18 / $242.29 / $346.26	Professional		$187.18	$242.29	$346.26
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 $151.51 / $231.92 / $356.44	Professional		$151.51	$231.92	$356.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $182.24 / $295.76 / $611.72	Professional		$182.24	$295.76	$611.72
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 $189.92 / $197.61 / $277.47	Professional		$189.92	$197.61	$277.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $313.76	Professional		$32.34	$32.34	$313.76
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 $179.45 / $253.10 / $436.08	Professional		$179.45	$253.10	$436.08