Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,548.82 / $5,623.41	Facility		$138.04	$1,548.82	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $199.53 / $501.19	Professional		$70.79	$199.53	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $69.18	Professional		$60.26	$60.26	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,202.26 / $1,621.81	Facility		$707.95	$1,202.26	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $204.17 / $281.84	Professional		$83.18	$204.17	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $831.76 / $1,000.00	Facility		$302.00	$831.76	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $218.78 / $426.58	Professional		$83.18	$218.78	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $331.13 / $1,047.13	Professional		$102.33	$331.13	$1,047.13
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 $85.11 / $91.20 / $281.84	Professional		$85.11	$91.20	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,187.76 / $4,570.88	Facility		$758.58	$2,187.76	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $371.54	Professional		$79.43	$186.21	$371.54