Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.18 / $1,257.52 / $5,493.00	Facility		$166.18	$1,257.52	$5,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $153.60 / $322.61	Professional		$86.74	$153.60	$322.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.45 / $1,283.52 / $2,593.58	Facility		$843.45	$1,283.52	$2,593.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $198.34 / $287.47	Professional		$155.34	$198.34	$287.47
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 $130.91 / $192.58 / $304.30	Professional		$130.91	$192.58	$304.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $146.68 / $245.55 / $502.54	Professional		$146.68	$245.55	$502.54
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 $160.60 / $164.15 / $230.19	Professional		$160.60	$164.15	$230.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $260.29	Professional		$32.34	$32.34	$260.29
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 $149.78 / $208.14 / $362.72	Professional		$149.78	$208.14	$362.72