Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,621.81 / $5,623.41	Facility		$169.82	$1,621.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $144.54 / $302.00	Professional		$61.66	$144.54	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,513.56 / $2,041.74	Facility		$269.15	$1,513.56	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $154.88 / $275.42	Professional		$75.86	$154.88	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $398.11 / $588.84	Facility		$239.88	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $158.49 / $302.00	Professional		$70.79	$158.49	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $251.19 / $707.95	Professional		$91.20	$251.19	$707.95
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 $75.86 / $81.28 / $218.78	Professional		$75.86	$81.28	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
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 $67.61 / $138.04 / $251.19	Professional		$67.61	$138.04	$251.19