Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,698.24 / $6,165.95	Facility		$251.19	$1,698.24	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $512.86	Professional		$131.83	$251.19	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Professional		$173.78	$173.78	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,630.27 / $3,548.13	Facility		$446.68	$2,630.27	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $354.81	Professional		$158.49	$251.19	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $363.08 / $588.84	Facility		$323.59	$363.08	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $501.19	Professional		$138.04	$263.03	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $407.38 / $891.25	Professional		$173.78	$407.38	$891.25
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 $162.18 / $169.82 / $354.81	Professional		$162.18	$169.82	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $4,897.79	Facility		$891.25	$2,238.72	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $416.87	Professional		$134.90	$239.88	$416.87