Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.95 / $1,848.00 / $5,389.00	Facility		$285.95	$1,848.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $194.84 / $316.11	Professional		$126.76	$194.84	$316.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $96.98 / $121.36	Professional		$61.60	$96.98	$121.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,388.21 / $3,076.16 / $4,863.03	Facility		$1,388.21	$3,076.16	$4,863.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.61 / $227.62 / $284.91	Professional		$164.61	$227.62	$284.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $2,338.66 / $2,610.83	Facility		$620.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.30 / $229.26 / $386.03	Professional		$149.30	$229.26	$386.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.88 / $255.54 / $799.02	Professional		$162.88	$255.54	$799.02
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 $166.10 / $176.45 / $191.05	Professional		$166.10	$176.45	$191.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $216.03	Professional		$32.34	$32.34	$216.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $241.95 / $383.29	Professional		$140.22	$241.95	$383.29