Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.36 / $1,100.00 / $4,961.00	Facility		$217.36	$1,100.00	$4,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $246.01 / $487.44	Professional		$123.00	$246.01	$487.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $57.78	Professional		$57.78	$57.78	$57.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.08 / $2,282.96 / $3,213.65	Facility		$1,081.08	$2,282.96	$3,213.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.07 / $285.38 / $488.17	Professional		$152.07	$285.38	$488.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $7,701.00 / $11,011.00	Facility		$620.00	$7,701.00	$11,011.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $268.02 / $492.56	Professional		$155.78	$268.02	$492.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.48 / $373.57 / $874.30	Professional		$181.48	$373.57	$874.30
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 $154.84 / $163.07 / $359.74	Professional		$154.84	$163.07	$359.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $415.08	Professional		$32.34	$32.34	$415.08
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.43 / $422.62 / $606.20	Professional		$278.43	$422.62	$606.20