Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,862.09 / $7,585.78	Facility		$100.00	$1,862.09	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $213.80	Professional		$51.29	$95.50	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $46.77	Professional		$25.12	$25.12	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $912.01 / $1,230.27	Facility		$131.83	$912.01	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $147.91	Professional		$60.26	$95.50	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $123.03 / $1,000.00	Facility		$109.65	$123.03	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $218.78	Professional		$56.23	$107.15	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $151.36 / $407.38	Professional		$69.18	$151.36	$407.38
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 $63.10 / $64.57 / $123.03	Professional		$63.10	$64.57	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,445.44 / $3,715.35	Facility		$588.84	$1,445.44	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $177.83	Professional		$54.95	$100.00	$177.83