Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.80 / $1,055.00 / $4,432.00	Facility		$101.80	$1,055.00	$4,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $101.80 / $186.31	Professional		$45.60	$101.80	$186.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $110.79 / $110.79	Professional		$110.79	$110.79	$110.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.00 / $814.86 / $1,530.11	Facility		$201.00	$814.86	$1,530.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $122.56 / $194.48	Professional		$56.82	$122.56	$194.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.89 / $480.00 / $2,769.00	Facility		$163.89	$480.00	$2,769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $112.10 / $235.25	Professional		$52.05	$112.10	$235.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $172.13 / $346.16	Professional		$66.25	$172.13	$346.16
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 $56.78 / $61.52 / $171.81	Professional		$56.78	$61.52	$171.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $194.28	Professional		$32.34	$32.34	$194.28
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,963.00 / $4,183.00	Facility		$600.00	$1,963.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $155.44 / $260.39	Professional		$107.62	$155.44	$260.39