Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,862.09 / $5,888.44	Facility		$309.03	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $190.55 / $389.05	Professional		$93.33	$190.55	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $154.88	Professional		$91.20	$91.20	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,344.23 / $2,818.38	Facility		$1,023.29	$2,344.23	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $331.13	Professional		$112.20	$194.98	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $416.87	Professional		$117.49	$213.80	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $616.60	Professional		$138.04	$281.84	$616.60
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 $114.82 / $120.23 / $223.87	Professional		$114.82	$120.23	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $478.63	Professional		$162.18	$269.15	$478.63