Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.16 / $1,342.80 / $5,283.00	Facility		$286.16	$1,342.80	$5,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $283.92 / $524.62	Professional		$180.90	$283.92	$524.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $145.69 / $374.78	Professional		$145.69	$145.69	$374.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $931.46 / $1,918.11 / $4,183.64	Facility		$931.46	$1,918.11	$4,183.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.25 / $360.22 / $521.91	Professional		$251.25	$360.22	$521.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.25 / $323.42 / $527.83	Professional		$201.25	$323.42	$527.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $243.28 / $429.74 / $847.46	Professional		$243.28	$429.74	$847.46
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 $252.37 / $266.02 / $418.07	Professional		$252.37	$266.02	$418.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $472.74	Professional		$32.34	$32.34	$472.74
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 $275.70 / $370.73 / $667.61	Professional		$275.70	$370.73	$667.61