Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.32 / $1,319.21 / $5,389.00	Facility		$283.32	$1,319.21	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.96 / $285.83 / $912.71	Professional		$118.96	$285.83	$912.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.62 / $134.62 / $134.62	Professional		$134.62	$134.62	$134.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,138.15 / $2,434.56 / $4,875.20	Facility		$1,138.15	$2,434.56	$4,875.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.33 / $588.90 / $1,204.02	Professional		$179.33	$588.90	$1,204.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.79 / $349.19 / $1,085.79	Professional		$164.79	$349.19	$1,085.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $201.27 / $762.94 / $1,760.70	Professional		$201.27	$762.94	$1,760.70
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 $165.83 / $185.47 / $742.91	Professional		$165.83	$185.47	$742.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $840.06	Professional		$32.34	$32.34	$840.06
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 $692.24 / $1,014.47 / $1,707.11	Professional		$692.24	$1,014.47	$1,707.11