Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,995.26 / $9,772.37	Facility		$208.93	$1,995.26	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $446.68	Professional		$109.65	$208.93	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $295.12	Professional		$100.00	$128.82	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,621.81 / $2,238.72	Facility		$331.13	$1,621.81	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $295.12	Professional		$131.83	$208.93	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $281.84 / $1,000.00	Facility		$245.47	$281.84	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $398.11	Professional		$120.23	$218.78	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $323.59 / $645.65	Professional		$154.88	$323.59	$645.65
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 $134.90 / $144.54 / $281.84	Professional		$134.90	$144.54	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
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 $112.20 / $186.21 / $331.13	Professional		$112.20	$186.21	$331.13