Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.81 / $1,694.00 / $4,634.00	Facility		$181.81	$1,694.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $223.33 / $891.17	Professional		$87.28	$223.33	$891.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $84.13 / $120.36	Professional		$84.13	$84.13	$120.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $879.51 / $2,170.19 / $3,004.23	Facility		$879.51	$2,170.19	$3,004.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.08 / $294.49 / $1,438.78	Professional		$110.08	$294.49	$1,438.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.18 / $875.00 / $1,711.56	Facility		$158.18	$875.00	$1,711.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $266.57 / $1,156.11	Professional		$100.67	$266.57	$1,156.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $928.74 / $1,473.38	Professional		$125.01	$928.74	$1,473.38
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 $110.53 / $116.08 / $887.77	Professional		$110.53	$116.08	$887.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,003.86	Professional		$32.34	$32.34	$1,003.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $2,664.00 / $4,780.00	Facility		$1,250.00	$2,664.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.70 / $794.43 / $1,492.41	Professional		$555.70	$794.43	$1,492.41