Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.00 / $1,278.00 / $5,389.00	Facility		$364.00	$1,278.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.48 / $376.43 / $713.70	Professional		$233.48	$376.43	$713.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.77 / $291.77 / $291.77	Professional		$291.77	$291.77	$291.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.29 / $2,500.34 / $5,453.56	Facility		$842.29	$2,500.34	$5,453.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $478.30 / $703.93	Professional		$326.80	$478.30	$703.93
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 $296.57 / $438.33 / $723.21	Professional		$296.57	$438.33	$723.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $343.58 / $584.57 / $1,180.45	Professional		$343.58	$584.57	$1,180.45
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 $329.39 / $347.13 / $562.98	Professional		$329.39	$347.13	$562.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $649.59	Professional		$32.34	$32.34	$649.59
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $916.00 / $3,606.00	Facility		$165.00	$916.00	$3,606.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.76 / $529.69 / $916.28	Professional		$372.76	$529.69	$916.28