Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.97 / $1,159.00 / $5,241.39	Facility		$261.97	$1,159.00	$5,241.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.31 / $255.22 / $473.06	Professional		$189.31	$255.22	$473.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $348.39 / $348.39 / $348.39	Professional		$348.39	$348.39	$348.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,911.75 / $2,464.17 / $4,447.31	Facility		$1,911.75	$2,464.17	$4,447.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.83 / $337.59 / $482.16	Professional		$270.83	$337.59	$482.16
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 $233.66 / $326.42 / $497.73	Professional		$233.66	$326.42	$497.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $262.13 / $411.85 / $817.80	Professional		$262.13	$411.85	$817.80
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 $270.39 / $285.51 / $386.59	Professional		$270.39	$285.51	$386.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $437.15	Professional		$32.34	$32.34	$437.15
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 $248.17 / $346.79 / $606.33	Professional		$248.17	$346.79	$606.33