Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.80 / $1,159.00 / $5,091.00	Facility		$118.80	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $116.57 / $219.64	Professional		$60.30	$116.57	$219.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $75.93 / $75.93	Professional		$75.93	$75.93	$75.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.59 / $931.46 / $1,298.18	Facility		$502.59	$931.46	$1,298.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $125.96 / $201.43	Professional		$69.97	$125.96	$201.43
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 $70.65 / $119.83 / $217.04	Professional		$70.65	$119.83	$217.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $166.08 / $256.83	Professional		$81.86	$166.08	$256.83
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 $72.45 / $76.01 / $159.93	Professional		$72.45	$76.01	$159.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $180.84	Professional		$32.34	$32.34	$180.84
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 $112.41 / $152.25 / $259.99	Professional		$112.41	$152.25	$259.99