Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.09 / $1,017.00 / $5,091.00	Facility		$374.09	$1,017.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.53 / $382.68 / $1,049.70	Professional		$175.53	$382.68	$1,049.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.82 / $371.70 / $564.59	Professional		$235.82	$371.70	$564.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $962.37 / $2,058.56 / $4,122.26	Facility		$962.37	$2,058.56	$4,122.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.12 / $424.55 / $678.93	Professional		$220.12	$424.55	$678.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.48 / $405.81 / $674.85	Professional		$197.48	$405.81	$674.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $232.91 / $567.04 / $1,041.03	Professional		$232.91	$567.04	$1,041.03
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 $224.12 / $235.79 / $543.69	Professional		$224.12	$235.79	$543.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $627.33	Professional		$32.34	$32.34	$627.33
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.55 / $494.64 / $843.38	Professional		$347.55	$494.64	$843.38