Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,380.38 / $5,623.41	Facility		$107.15	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $154.88	Professional		$56.23	$75.86	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $58.88	Professional		$29.51	$29.51	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,513.56 / $2,630.27	Facility		$95.50	$1,513.56	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $125.89	Professional		$69.18	$85.11	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $85.11 / $1,000.00	Facility		$75.86	$85.11	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $186.21	Professional		$58.88	$93.33	$186.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $302.00	Professional		$72.44	$120.23	$302.00
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 $70.79 / $74.13 / $102.33	Professional		$70.79	$74.13	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
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 $58.88 / $87.10 / $141.25	Professional		$58.88	$87.10	$141.25