Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,778.28 / $5,623.41	Facility		$251.19	$1,778.28	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $602.56	Professional		$117.49	$245.47	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $154.88	Professional		$104.71	$107.15	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,621.81 / $2,290.87	Facility		$933.25	$1,621.81	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $398.11	Professional		$141.25	$234.42	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $1,230.27	Facility		$302.00	$1,000.00	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $436.52	Professional		$125.89	$234.42	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $363.08 / $660.69	Professional		$147.91	$363.08	$660.69
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 $144.54 / $154.88 / $331.13	Professional		$144.54	$154.88	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
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 $117.49 / $204.17 / $363.08	Professional		$117.49	$204.17	$363.08