Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,862.09 / $7,762.47	Facility		$302.00	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $457.09	Professional		$151.36	$245.47	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,467.37	Facility		$1,698.24	$2,398.83	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $489.78	Professional		$194.98	$295.12	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $457.09	Professional		$173.78	$275.42	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $660.69	Professional		$213.80	$389.05	$660.69
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 $194.98 / $204.17 / $338.84	Professional		$194.98	$204.17	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $323.59	Professional		$32.36	$32.36	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $4,168.69	Facility		$741.31	$1,513.56	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $436.52	Professional		$162.18	$251.19	$436.52