Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.22 / $945.50 / $3,427.50	Facility		$222.22	$945.50	$3,427.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.33 / $180.99 / $301.42	Professional		$134.33	$180.99	$301.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $124.31 / $148.35	Professional		$124.31	$124.31	$148.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $805.61 / $1,755.23 / $4,083.19	Facility		$805.61	$1,755.23	$4,083.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.47 / $303.62 / $362.88	Professional		$165.47	$303.62	$362.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $223.91 / $314.91	Professional		$157.69	$223.91	$314.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $170.52 / $250.38 / $753.86	Professional		$170.52	$250.38	$753.86
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 $158.56 / $170.85 / $223.91	Professional		$158.56	$170.85	$223.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $253.19	Professional		$32.34	$32.34	$253.19
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.92 / $241.86 / $413.33	Professional		$172.92	$241.86	$413.33