Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,862.09 / $5,623.41	Facility		$213.80	$1,862.09	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $371.54	Professional		$85.11	$194.98	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,548.82 / $2,041.74	Facility		$912.01	$1,548.82	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $213.80 / $354.81	Professional		$109.65	$213.80	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,698.24 / $2,754.23	Facility		$302.00	$1,698.24	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $204.17 / $389.05	Professional		$100.00	$204.17	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $323.59 / $812.83	Professional		$125.89	$323.59	$812.83
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 $102.33 / $117.49 / $281.84	Professional		$102.33	$117.49	$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 $891.25 / $2,238.72 / $4,570.88	Facility		$891.25	$2,238.72	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $331.13	Professional		$93.33	$186.21	$331.13