Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.64 / $1,129.00 / $4,200.00	Facility		$345.64	$1,129.00	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.19 / $348.03 / $648.46	Professional		$220.19	$348.03	$648.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $207.88 / $358.18	Professional		$106.46	$207.88	$358.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,912.86 / $2,733.04 / $5,469.90	Facility		$1,912.86	$2,733.04	$5,469.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $424.65 / $725.32	Professional		$281.58	$424.65	$725.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.39 / $520.66 / $908.00	Facility		$466.39	$520.66	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.95 / $434.56 / $674.82	Professional		$263.95	$434.56	$674.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $328.16 / $543.35 / $994.54	Professional		$328.16	$543.35	$994.54
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 $294.63 / $301.16 / $492.84	Professional		$294.63	$301.16	$492.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $557.29	Professional		$32.34	$32.34	$557.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.64 / $3,493.00 / $6,482.00	Facility		$1,334.64	$3,493.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.99 / $481.40 / $835.35	Professional		$350.99	$481.40	$835.35