Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.80 / $923.00 / $5,283.00	Facility		$235.80	$923.00	$5,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.71 / $240.66 / $490.40	Professional		$134.71	$240.66	$490.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.12 / $189.17 / $193.58	Professional		$126.12	$189.17	$193.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $931.46 / $1,734.41 / $3,782.97	Facility		$931.46	$1,734.41	$3,782.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.34 / $321.23 / $466.43	Professional		$226.34	$321.23	$466.43
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 $183.05 / $289.04 / $471.71	Professional		$183.05	$289.04	$471.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $220.05 / $385.99 / $827.96	Professional		$220.05	$385.99	$827.96
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 $230.36 / $240.34 / $372.81	Professional		$230.36	$240.34	$372.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $421.57	Professional		$32.34	$32.34	$421.57
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 $229.93 / $332.03 / $595.87	Professional		$229.93	$332.03	$595.87