Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.90 / $1,229.00 / $4,634.00	Facility		$378.90	$1,229.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.03 / $220.83 / $423.63	Professional		$187.03	$220.83	$423.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.58 / $213.58 / $270.73	Professional		$213.58	$213.58	$270.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,912.86 / $2,617.42 / $4,723.88	Facility		$1,912.86	$2,617.42	$4,723.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.14 / $337.58 / $467.85	Professional		$244.14	$337.58	$467.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.73 / $275.44 / $908.00	Facility		$246.73	$275.44	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.09 / $327.75 / $458.70	Professional		$219.09	$327.75	$458.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.95 / $378.90 / $728.04	Professional		$257.95	$378.90	$728.04
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 $255.94 / $260.98 / $315.61	Professional		$255.94	$260.98	$315.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $356.89	Professional		$32.34	$32.34	$356.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,715.00 / $6,514.00	Facility		$1,600.00	$3,715.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.30 / $296.92 / $506.33	Professional		$217.30	$296.92	$506.33