Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.38 / $1,017.00 / $5,389.00	Facility		$216.38	$1,017.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.75 / $220.37 / $434.64	Professional		$120.75	$220.37	$434.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.92 / $222.92 / $222.92	Professional		$222.92	$222.92	$222.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $843.45 / $1,383.51 / $3,017.61	Facility		$843.45	$1,383.51	$3,017.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.05 / $267.32 / $458.66	Professional		$155.05	$267.32	$458.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.41 / $344.30 / $480.00	Facility		$308.41	$344.30	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $259.94 / $438.14	Professional		$150.00	$259.94	$438.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.25 / $345.40 / $669.37	Professional		$183.25	$345.40	$669.37
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 $160.15 / $165.56 / $312.87	Professional		$160.15	$165.56	$312.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $353.78	Professional		$32.34	$32.34	$353.78
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,689.00 / $4,183.00	Facility		$807.00	$1,689.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.04 / $310.17 / $546.41	Professional		$226.04	$310.17	$546.41