Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $973.00 / $4,634.00	Facility		$134.19	$973.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $148.25 / $319.41	Professional		$69.29	$148.25	$319.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $83.33 / $108.00	Professional		$83.33	$83.33	$108.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $865.11 / $1,917.00 / $2,753.02	Facility		$865.11	$1,917.00	$2,753.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $218.32 / $436.04	Professional		$100.81	$218.32	$436.04
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 $92.71 / $180.35 / $369.19	Professional		$92.71	$180.35	$369.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $317.81 / $582.86	Professional		$121.12	$317.81	$582.86
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 $103.00 / $108.59 / $298.10	Professional		$103.00	$108.59	$298.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $337.09	Professional		$32.34	$32.34	$337.09
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,763.00 / $4,256.00	Facility		$807.00	$1,763.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $266.22 / $503.22	Professional		$174.52	$266.22	$503.22