Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.72 / $833.81 / $4,148.22	Facility		$303.72	$833.81	$4,148.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.95 / $286.30 / $519.67	Professional		$185.95	$286.30	$519.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.12 / $267.56 / $399.06	Professional		$172.12	$267.56	$399.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $798.06 / $1,663.16 / $3,796.87	Facility		$798.06	$1,663.16	$3,796.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.95 / $322.50 / $488.84	Professional		$223.95	$322.50	$488.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $371.34 / $1,000.00	Facility		$300.00	$371.34	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.19 / $320.22 / $537.44	Professional		$175.19	$320.22	$537.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $215.53 / $399.06 / $820.87	Professional		$215.53	$399.06	$820.87
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 $231.82 / $241.71 / $384.28	Professional		$231.82	$241.71	$384.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $434.53	Professional		$32.34	$32.34	$434.53
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 $239.34 / $346.93 / $621.04	Professional		$239.34	$346.93	$621.04