Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.47 / $1,289.00 / $12,058.46	Facility		$149.47	$1,289.00	$12,058.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.28 / $147.63 / $285.18	Professional		$127.28	$147.63	$285.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.26 / $150.66 / $174.63	Professional		$144.26	$150.66	$174.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.18 / $1,951.20 / $3,907.27	Facility		$912.18	$1,951.20	$3,907.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.43 / $245.34 / $299.31	Professional		$177.43	$245.34	$299.31
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 $148.02 / $213.84 / $315.14	Professional		$148.02	$213.84	$315.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.71 / $253.44 / $821.50	Professional		$171.71	$253.44	$821.50
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 $165.35 / $185.37 / $205.92	Professional		$165.35	$185.37	$205.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $232.85	Professional		$32.34	$32.34	$232.85
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $188.62 / $332.48	Professional		$141.12	$188.62	$332.48