Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,445.44 / $5,623.41	Facility		$263.03	$1,445.44	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $549.54	Professional		$141.25	$257.04	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,089.30 / $2,884.03	Facility		$371.54	$2,089.30	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $346.74	Professional		$165.96	$251.19	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $316.23 / $1,000.00	Facility		$302.00	$316.23	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $478.63	Professional		$154.88	$257.04	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $389.05 / $870.96	Professional		$190.55	$389.05	$870.96
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 $173.78 / $181.97 / $338.84	Professional		$173.78	$181.97	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $4,677.35	Facility		$891.25	$2,238.72	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $426.58	Professional		$151.36	$245.47	$426.58