Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.11 / $1,607.82 / $4,634.00	Facility		$110.11	$1,607.82	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $179.21 / $383.38	Professional		$53.32	$179.21	$383.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $35.57 / $35.57	Professional		$35.57	$35.57	$35.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.03 / $1,245.42 / $2,753.02	Facility		$562.03	$1,245.42	$2,753.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $203.58 / $404.18	Professional		$66.41	$203.58	$404.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $1,378.17 / $1,538.56	Facility		$463.00	$1,378.17	$1,538.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $140.84 / $374.19	Professional		$60.00	$140.84	$374.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $294.60 / $543.95	Professional		$79.43	$294.60	$543.95
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 $67.98 / $71.20 / $277.97	Professional		$67.98	$71.20	$277.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $314.32	Professional		$32.34	$32.34	$314.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.31 / $301.07 / $492.54	Professional		$208.31	$301.07	$492.54