Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.47 / $1,289.00 / $7,756.33	Facility		$191.47	$1,289.00	$7,756.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $174.83 / $359.30	Professional		$120.54	$174.83	$359.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $185.28 / $198.39	Professional		$86.57	$185.28	$198.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.94 / $1,298.18 / $2,871.58	Facility		$273.94	$1,298.18	$2,871.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.95 / $225.62 / $322.27	Professional		$172.95	$225.62	$322.27
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 $145.21 / $216.16 / $341.35	Professional		$145.21	$216.16	$341.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $275.27 / $593.16	Professional		$168.65	$275.27	$593.16
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 $177.03 / $182.51 / $258.36	Professional		$177.03	$182.51	$258.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $292.14	Professional		$32.34	$32.34	$292.14
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 $168.32 / $238.79 / $405.71	Professional		$168.32	$238.79	$405.71