Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.86 / $2,162.00 / $9,691.00	Facility		$266.86	$2,162.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.77 / $166.69 / $315.13	Professional		$147.77	$166.69	$315.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $172.95 / $226.21	Professional		$140.06	$172.95	$226.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,014.44 / $2,420.39 / $3,460.55	Facility		$1,014.44	$2,420.39	$3,460.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.70 / $215.30 / $278.00	Professional		$179.70	$215.30	$278.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.03 / $643.00 / $1,681.46	Facility		$178.03	$643.00	$1,681.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.21 / $235.73 / $385.03	Professional		$165.21	$235.73	$385.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.18 / $263.54 / $1,327.64	Professional		$181.18	$263.54	$1,327.64
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 $185.46 / $197.00 / $214.12	Professional		$185.46	$197.00	$214.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $242.12	Professional		$32.34	$32.34	$242.12
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 $159.88 / $230.96 / $360.78	Professional		$159.88	$230.96	$360.78