Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.57 / $1,289.00 / $5,091.00	Facility		$222.57	$1,289.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $135.02 / $232.36	Professional		$107.15	$135.02	$232.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $58.95 / $58.95	Professional		$58.95	$58.95	$58.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.07 / $1,451.18 / $3,165.21	Facility		$330.07	$1,451.18	$3,165.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $219.78 / $267.93	Professional		$158.94	$219.78	$267.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.87 / $280.07 / $908.00	Facility		$250.87	$280.07	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $191.46 / $269.60	Professional		$130.38	$191.46	$269.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $156.09 / $227.04 / $572.27	Professional		$156.09	$227.04	$572.27
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 $157.31 / $165.93 / $184.47	Professional		$157.31	$165.93	$184.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $208.59	Professional		$32.34	$32.34	$208.59
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 $119.53 / $166.01 / $273.74	Professional		$119.53	$166.01	$273.74