Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.70 / $1,411.00 / $5,389.00	Facility		$311.70	$1,411.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.15 / $301.77 / $527.69	Professional		$203.15	$301.77	$527.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.29 / $158.29 / $158.29	Professional		$158.29	$158.29	$158.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,936.57 / $2,601.46 / $4,695.08	Facility		$1,936.57	$2,601.46	$4,695.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.30 / $391.38 / $567.07	Professional		$281.30	$391.38	$567.07
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 $219.00 / $362.04 / $583.53	Professional		$219.00	$362.04	$583.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $277.12 / $471.72 / $937.36	Professional		$277.12	$471.72	$937.36
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 $280.85 / $297.66 / $454.25	Professional		$280.85	$297.66	$454.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $513.65	Professional		$32.34	$32.34	$513.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.88 / $401.66 / $723.85	Professional		$286.88	$401.66	$723.85