Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,071.52 / $5,495.41	Facility		$181.97	$1,071.52	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $218.78 / $524.81	Professional		$97.72	$218.78	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $147.91	Professional		$53.70	$91.20	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,318.26 / $1,905.46	Facility		$724.44	$1,318.26	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $323.59	Professional		$120.23	$223.87	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $954.99 / $1,000.00	Facility		$302.00	$954.99	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $416.87	Professional		$104.71	$213.80	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $354.81 / $724.44	Professional		$131.83	$354.81	$724.44
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 $120.23 / $128.82 / $309.03	Professional		$120.23	$128.82	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $354.81	Professional		$32.36	$33.11	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,445.44 / $3,715.35	Facility		$660.69	$1,445.44	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $346.74	Professional		$97.72	$190.55	$346.74