Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.40 / $1,207.00 / $5,091.00	Facility		$143.40	$1,207.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $183.17 / $393.72	Professional		$71.25	$183.17	$393.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $97.58 / $230.88	Professional		$93.82	$97.58	$230.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.11 / $1,277.44 / $1,978.85	Facility		$315.11	$1,277.44	$1,978.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $233.93 / $453.17	Professional		$89.01	$233.93	$453.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $424.22 / $908.00	Facility		$128.25	$424.22	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $181.74 / $451.43	Professional		$77.16	$181.74	$451.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $358.19 / $723.06	Professional		$93.82	$358.19	$723.06
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 $88.40 / $96.02 / $358.58	Professional		$88.40	$96.02	$358.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $405.47	Professional		$32.34	$32.34	$405.47
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 $216.41 / $306.33 / $548.88	Professional		$216.41	$306.33	$548.88