Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.58 / $1,129.00 / $5,091.00	Facility		$263.58	$1,129.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $313.95 / $556.58	Professional		$149.09	$313.95	$556.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.51 / $310.51 / $310.51	Professional		$310.51	$310.51	$310.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,087.55 / $2,326.32 / $4,658.45	Facility		$1,087.55	$2,326.32	$4,658.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.98 / $355.69 / $741.77	Professional		$169.98	$355.69	$741.77
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 $170.25 / $325.55 / $598.87	Professional		$170.25	$325.55	$598.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $192.45 / $417.44 / $1,949.94	Professional		$192.45	$417.44	$1,949.94
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 $151.13 / $173.47 / $403.66	Professional		$151.13	$173.47	$403.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $456.45	Professional		$32.34	$32.34	$456.45
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 $329.65 / $516.49 / $805.79	Professional		$329.65	$516.49	$805.79