Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.71 / $1,229.00 / $5,283.00	Facility		$166.71	$1,229.00	$5,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $242.00 / $464.81	Professional		$152.44	$242.00	$464.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $162.38 / $249.94	Professional		$162.38	$162.38	$249.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $916.80 / $1,624.03 / $3,542.23	Facility		$916.80	$1,624.03	$3,542.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.49 / $308.75 / $447.70	Professional		$213.49	$308.75	$447.70
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 $186.37 / $285.89 / $459.85	Professional		$186.37	$285.89	$459.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.19 / $372.11 / $760.27	Professional		$219.19	$372.11	$760.27
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 $216.58 / $226.36 / $358.33	Professional		$216.58	$226.36	$358.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $405.19	Professional		$32.34	$32.34	$405.19
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 $246.10 / $332.63 / $582.90	Professional		$246.10	$332.63	$582.90