Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.30 / $1,379.09 / $5,389.00	Facility		$327.30	$1,379.09	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $465.60 / $913.41	Professional		$161.83	$465.60	$913.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.03 / $150.03 / $150.03	Professional		$150.03	$150.03	$150.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,304.43 / $2,790.24 / $5,587.45	Facility		$1,304.43	$2,790.24	$5,587.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.08 / $483.18 / $988.06	Professional		$201.08	$483.18	$988.06
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 $200.76 / $397.04 / $1,165.80	Professional		$200.76	$397.04	$1,165.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $631.65 / $1,632.28	Professional		$222.40	$631.65	$1,632.28
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 $181.69 / $206.52 / $609.66	Professional		$181.69	$206.52	$609.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $689.39	Professional		$32.34	$32.34	$689.39
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 $520.59 / $913.63 / $1,469.20	Professional		$520.59	$913.63	$1,469.20