Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $1,017.00 / $7,147.14	Facility		$0.59	$1,017.00	$7,147.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $389.25 / $1,029.00	Professional		$230.18	$389.25	$1,029.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $33.40 / $76.61 / $205.80	Professional	AS	$33.40	$76.61	$205.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.42 / $282.66 / $376.33	Professional		$214.42	$282.66	$376.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.70 / $3,633.60 / $7,276.28	Facility		$1,698.70	$3,633.60	$7,276.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.73 / $460.08 / $547.36	Professional		$332.73	$460.08	$547.36
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 $271.17 / $401.02 / $582.77	Professional		$271.17	$401.02	$582.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $460.43 / $1,526.67	Professional		$311.89	$460.43	$1,526.67
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 $283.88 / $338.99 / $386.17	Professional		$283.88	$338.99	$386.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $436.66	Professional		$32.34	$32.34	$436.66
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 $254.81 / $358.20 / $609.53	Professional		$254.81	$358.20	$609.53