Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.74 / $1,207.00 / $5,091.00	Facility		$192.74	$1,207.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $253.23 / $1,007.48	Professional		$98.82	$253.23	$1,007.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $101.81 / $118.54	Professional		$89.39	$101.81	$118.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $651.66 / $1,536.37 / $2,150.92	Facility		$651.66	$1,536.37	$2,150.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $490.44 / $1,056.13	Professional		$115.08	$490.44	$1,056.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $908.00 / $2,769.00	Facility		$400.00	$908.00	$2,769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.79 / $360.00 / $1,111.09	Professional		$112.79	$360.00	$1,111.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $863.55 / $1,285.74	Professional		$137.12	$863.55	$1,285.74
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 $117.98 / $125.61 / $835.73	Professional		$117.98	$125.61	$835.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $874.30	Professional		$32.34	$32.34	$874.30
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,622.00 / $4,636.00	Facility		$815.00	$2,622.00	$4,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.35 / $807.38 / $1,325.12	Professional		$546.35	$807.38	$1,325.12