Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.94 / $1,159.00 / $5,091.00	Facility		$263.94	$1,159.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $283.49 / $523.86	Professional		$148.32	$283.49	$523.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.13 / $246.13 / $246.13	Professional		$246.13	$246.13	$246.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.98 / $2,314.40 / $4,634.58	Facility		$1,081.98	$2,314.40	$4,634.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.18 / $334.96 / $689.13	Professional		$169.18	$334.96	$689.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.44 / $310.24 / $593.13	Professional		$169.44	$310.24	$593.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $191.54 / $387.81 / $1,641.59	Professional		$191.54	$387.81	$1,641.59
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 $147.68 / $171.96 / $375.66	Professional		$147.68	$171.96	$375.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $424.79	Professional		$32.34	$32.34	$424.79
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.99 / $520.98 / $764.99	Professional		$316.99	$520.98	$764.99