Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.79 / $1,207.00 / $5,300.00	Facility		$237.79	$1,207.00	$5,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.15 / $332.30 / $543.85	Professional		$137.15	$332.30	$543.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $152.87 / $152.87	Professional		$90.44	$152.87	$152.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,378.73 / $2,202.15 / $3,207.34	Facility		$1,378.73	$2,202.15	$3,207.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.08 / $277.24 / $475.75	Professional		$163.08	$277.24	$475.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.51 / $342.53 / $640.51	Professional		$176.51	$342.53	$640.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $196.88 / $383.64 / $1,237.97	Professional		$196.88	$383.64	$1,237.97
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 $168.14 / $176.51 / $321.76	Professional		$168.14	$176.51	$321.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $363.84	Professional		$32.34	$32.34	$363.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.27 / $541.42 / $945.78	Professional		$389.27	$541.42	$945.78