Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.62 / $1,544.00 / $5,724.51	Facility		$290.62	$1,544.00	$5,724.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.02 / $274.30 / $509.27	Professional		$162.02	$274.30	$509.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $155.16 / $370.15	Professional		$155.16	$155.16	$370.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.19 / $2,957.86 / $4,602.53	Facility		$1,152.19	$2,957.86	$4,602.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $318.39 / $533.86	Professional		$206.70	$318.39	$533.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.35 / $480.00 / $2,720.17	Facility		$296.35	$480.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.81 / $323.02 / $557.42	Professional		$195.81	$323.02	$557.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $232.81 / $440.83 / $875.37	Professional		$232.81	$440.83	$875.37
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 $204.72 / $222.24 / $421.38	Professional		$204.72	$222.24	$421.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $476.49	Professional		$32.34	$32.34	$476.49
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.92 / $365.77 / $633.91	Professional		$269.92	$365.77	$633.91