Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.13 / $1,146.00 / $5,091.00	Facility		$249.13	$1,146.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.01 / $233.94 / $441.52	Professional		$127.01	$233.94	$441.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $138.36 / $285.33	Professional		$58.84	$138.36	$285.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.77 / $2,192.85 / $3,219.33	Facility		$561.77	$2,192.85	$3,219.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.76 / $267.68 / $448.82	Professional		$156.76	$267.68	$448.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.09 / $400.00 / $908.00	Facility		$228.09	$400.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $261.87 / $483.71	Professional		$145.19	$261.87	$483.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.76 / $366.86 / $787.46	Professional		$181.76	$366.86	$787.46
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 $160.41 / $169.64 / $353.28	Professional		$160.41	$169.64	$353.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $399.47	Professional		$32.34	$32.34	$399.47
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 $238.63 / $326.99 / $560.01	Professional		$238.63	$326.99	$560.01