Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.87 / $2,039.00 / $6,767.06	Facility		$176.87	$2,039.00	$6,767.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $352.44 / $946.58	Professional		$161.94	$352.44	$946.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $171.28 / $225.42	Professional		$151.02	$171.28	$225.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,079.40 / $2,308.88 / $4,623.53	Facility		$1,079.40	$2,308.88	$4,623.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.42 / $290.95 / $355.63	Professional		$210.42	$290.95	$355.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $9,841.00 / $10,111.00	Facility		$709.00	$9,841.00	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.97 / $293.05 / $948.67	Professional		$182.97	$293.05	$948.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $206.64 / $321.22 / $3,359.37	Professional		$206.64	$321.22	$3,359.37
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 $197.15 / $220.25 / $244.21	Professional		$197.15	$220.25	$244.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $276.14	Professional		$32.34	$32.34	$276.14
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,686.00	Facility		$165.00	$891.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.68 / $287.45 / $897.78	Professional		$169.68	$287.45	$897.78