Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.12 / $1,630.00 / $5,827.80	Facility		$328.12	$1,630.00	$5,827.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $289.75 / $711.96	Professional		$164.81	$289.75	$711.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $215.36 / $369.17	Professional		$71.59	$215.36	$369.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,110.96 / $2,471.82 / $3,500.10	Facility		$1,110.96	$2,471.82	$3,500.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.45 / $442.59 / $742.11	Professional		$196.45	$442.59	$742.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,300.00 / $2,769.00	Facility		$400.00	$1,300.00	$2,769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.21 / $366.06 / $751.43	Professional		$194.21	$366.06	$751.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $230.80 / $584.54 / $1,346.39	Professional		$230.80	$584.54	$1,346.39
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 $197.42 / $213.72 / $584.25	Professional		$197.42	$213.72	$584.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $660.65	Professional		$32.34	$32.34	$660.65
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.39 / $483.70 / $962.17	Professional		$228.39	$483.70	$962.17