Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.06 / $1,192.15 / $4,289.00	Facility		$389.06	$1,192.15	$4,289.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $389.06 / $823.15	Professional		$215.00	$389.06	$823.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $392.29 / $392.29 / $584.04	Professional		$392.29	$392.29	$584.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $2,294.44 / $5,004.46	Facility		$842.29	$2,294.44	$5,004.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.60 / $443.23 / $702.68	Professional		$302.60	$443.23	$702.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.66 / $430.37 / $722.48	Professional		$274.66	$430.37	$722.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $318.08 / $568.82 / $1,252.70	Professional		$318.08	$568.82	$1,252.70
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 $306.22 / $321.67 / $562.41	Professional		$306.22	$321.67	$562.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $648.95	Professional		$32.34	$32.34	$648.95
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,032.00 / $3,686.00	Facility		$165.00	$1,032.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.77 / $534.21 / $930.61	Professional		$376.77	$534.21	$930.61