Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.20 / $1,094.00 / $5,091.00	Facility		$352.20	$1,094.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $338.25 / $730.54	Professional		$159.60	$338.25	$730.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.63 / $243.63 / $467.56	Professional		$243.63	$243.63	$467.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $885.07 / $1,893.20 / $3,791.13	Facility		$885.07	$1,893.20	$3,791.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.15 / $405.43 / $648.34	Professional		$202.15	$405.43	$648.34
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 $180.56 / $377.72 / $646.19	Professional		$180.56	$377.72	$646.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $214.04 / $542.11 / $1,133.48	Professional		$214.04	$542.11	$1,133.48
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 $207.30 / $217.05 / $518.96	Professional		$207.30	$217.05	$518.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $598.79	Professional		$32.34	$32.34	$598.79
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 $348.37 / $482.25 / $967.98	Professional		$348.37	$482.25	$967.98