Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.85 / $1,129.26 / $4,950.93	Facility		$130.85	$1,129.26	$4,950.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.29 / $140.16 / $272.51	Professional		$67.29	$140.16	$272.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.77 / $218.77 / $218.77	Professional		$218.77	$218.77	$218.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.77 / $1,375.50 / $2,753.02	Facility		$384.77	$1,375.50	$2,753.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $165.05 / $300.25	Professional		$79.59	$165.05	$300.25
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 $83.76 / $163.56 / $307.89	Professional		$83.76	$163.56	$307.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.92 / $225.45 / $644.71	Professional		$95.92	$225.45	$644.71
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 $82.98 / $86.10 / $210.67	Professional		$82.98	$86.10	$210.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $243.08	Professional		$32.34	$32.34	$243.08
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,763.00 / $4,342.00	Facility		$553.00	$1,763.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.76 / $227.16 / $389.03	Professional		$158.76	$227.16	$389.03