Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,380.38 / $7,762.47	Facility		$169.82	$1,380.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $354.81	Professional		$107.15	$158.49	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $131.83	Professional		$123.03	$123.03	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,995.26 / $2,691.53	Facility		$194.98	$1,995.26	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $229.09	Professional		$125.89	$162.18	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $177.83 / $1,000.00	Facility		$158.49	$177.83	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $323.59	Professional		$112.20	$173.78	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $575.44	Professional		$134.90	$229.09	$575.44
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 $131.83 / $138.04 / $194.98	Professional		$131.83	$138.04	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
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 $109.65 / $162.18 / $263.03	Professional		$109.65	$162.18	$263.03