Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.38 / $680.09 / $3,221.00	Facility		$160.38	$680.09	$3,221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $183.45 / $396.38	Professional		$94.90	$183.45	$396.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $128.87 / $129.06	Professional		$65.80	$128.87	$129.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $668.01 / $1,245.54 / $2,036.98	Facility		$668.01	$1,245.54	$2,036.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.64 / $222.60 / $394.15	Professional		$119.64	$222.60	$394.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $480.00 / $1,000.00	Facility		$171.40	$480.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $213.04 / $404.29	Professional		$109.47	$213.04	$404.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.78 / $322.18 / $679.77	Professional		$137.78	$322.18	$679.77
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 $120.68 / $128.21 / $312.05	Professional		$120.68	$128.21	$312.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $352.86	Professional		$32.34	$32.34	$352.86
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,905.00 / $4,183.00	Facility		$600.00	$1,905.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.24 / $261.45 / $475.19	Professional		$187.24	$261.45	$475.19