Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.47 / $1,486.00 / $5,091.00	Facility		$439.47	$1,486.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.59 / $301.75 / $601.91	Professional		$197.59	$301.75	$601.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $163.54 / $163.54	Professional		$163.54	$163.54	$163.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $2,077.76 / $4,531.85	Facility		$842.29	$2,077.76	$4,531.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.41 / $393.53 / $585.87	Professional		$269.41	$393.53	$585.87
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 $237.07 / $360.78 / $602.82	Professional		$237.07	$360.78	$602.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $265.77 / $474.27 / $903.47	Professional		$265.77	$474.27	$903.47
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 $274.20 / $285.61 / $469.26	Professional		$274.20	$285.61	$469.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $541.46	Professional		$32.34	$32.34	$541.46
United Facility/Professional Facility Modifier Low / Median / High Price $204.00 / $814.00 / $3,685.00	Facility		$204.00	$814.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.42 / $437.90 / $753.69	Professional		$276.42	$437.90	$753.69