Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.89 / $1,055.00 / $5,091.00	Facility		$238.89	$1,055.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.42 / $216.52 / $751.52	Professional		$124.42	$216.52	$751.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $158.00 / $158.00	Professional		$158.00	$158.00	$158.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.55 / $1,560.95 / $2,454.09	Facility		$814.55	$1,560.95	$2,454.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $220.34 / $352.39	Professional		$142.88	$220.34	$352.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.39 / $785.00 / $1,231.60	Facility		$210.39	$785.00	$1,231.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.12 / $230.79 / $376.83	Professional		$138.12	$230.79	$376.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $168.15 / $297.74 / $1,168.56	Professional		$168.15	$297.74	$1,168.56
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 $145.63 / $156.13 / $275.20	Professional		$145.63	$156.13	$275.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $311.20	Professional		$32.34	$32.34	$311.20
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 $197.28 / $269.02 / $437.05	Professional		$197.28	$269.02	$437.05